Larsen Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08001019A Issued in IN

Legal business name

LARSEN CHIROPRACTIC INC

Practice address

7 N Wabash St
Peru, IN 46970-2224

Phone

(765) 472-1127

Fax

(765) 472-5228

NPI assigned

Apr 9, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mark William Larsen, DOCTOR OF CHIROPRACTNPI 1043335078

Title

President

Phone

(765) 472-1127

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark William Larsen, DC

  • Chiropractor
  • Peru, IN
  • NPI 1043335078
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548383326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 N WABASH ST",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469702224",
            "telephone_number": "765-472-1127",
            "fax_number": "765-472-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 N WABASH ST",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469702224",
            "telephone_number": "765-472-1127",
            "fax_number": "765-472-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARSEN CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-472-1127",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DOCTOR OF CHIROPRACT"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001019A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM WELLPOINT",
            "identifier": "000000092330",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carmen Kuhn, OTR
• Dugan Thomas Labarge, DDS
• Ladd Dental Group of Peru, P.C.
• Ladd Dental of Bunker Hill P.C.
• Jessica Elizabeth Lane, OTR/L
• Mark William Larsen, DC
• Mattie L Lawson
• Edward A Lebrija, DPM
• Lancia K Lee, BGS
• Shannon Louise Lees, BS

• Chiropractor in Peru, IN
• Providers in Peru, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.