Individual provider Active NPI

Christopher J Larson, DC, CERT ACU

  • Chiropractor
  • Alexandria, MN
National Provider Identifier
1548551187
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5527 Issued in MN
Practice address
1413 Broadway St
Alexandria, MN 56308-2535
Phone
(320) 763-6533
Fax
(320) 763-6534
NPI assigned
May 1, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 912 MN
Chiropractor 111N00000X 5527 MN Primary

Addresses

Primary practice location

1413 Broadway St
Alexandria, MN 56308-2535

Mailing address

1413 Broadway St
Alexandria, MN 56308-2535
Phone (320) 763-6533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110511000602 MN Practitioner - ChiropracticPractitioner - Other (Physician) 8426234204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1413 Broadway St
Alexandria, MN 56308-2535
Phone (320) 763-6533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
912MNMDMarriage & Family Therapist
5527MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne D. Knauf, D.C.P.a. Chiropractor CurrentSince May 16, 2011 Accepting new patients
Activecare Chiropractic Chiropractor PastSince May 16, 2011 Accepting new patients

Locations

1413 Broadway St
Alexandria, MN 56308
Phone (320) 763-6533

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1304208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1548551187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 BROADWAY ST",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563082535",
            "telephone_number": "320-763-6533",
            "fax_number": "320-763-6534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 BROADWAY ST",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563082535",
            "telephone_number": "320-763-6533",
            "fax_number": "320-763-6534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC, CERT ACU",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-01",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "912",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, MN

Sources for this page

Verify at the official NPI Registry.