Active NPI
Kurt Allen Larsen, D.C,
- Chiropractor
- Hot Springs, AR
National Provider Identifier
1568598613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1022
- Practice address
- 4303 Park Ave
Hot Springs, AR 71901-9475 - Phone
- (501) 623-9355
- NPI assigned
- Feb 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internist Chiropractor | 111NI0900X | 1022 | AR | |
| Neurology Chiropractor | 111NN0400X | 1022 | AR | |
| Nutrition Chiropractor | 111NN1001X | 1022 | AR | |
| Pediatric Chiropractor | 111NP0017X | 1022 | AR | |
| Rehabilitation Chiropractor | 111NR0400X | 1022 | AR | |
| Chiropractor | 111N00000X | 1022 | AR | Primary |
Addresses
Primary practice location
4303 Park Ave
Hot Springs, AR 71901-9475
Mailing address
4303 Park Ave
Hot Springs, AR 71901-9475
Phone (501) 623-9355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040304000716 | AR | Practitioner - Chiropractic | 4385531177 | Practice locations: Hot Springs, AR |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1983
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4303 Park Ave
Hot Springs, AR 71901-9475
Phone (501) 623-9355
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579046400000",
"number": "1568598613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4303 PARK AVE",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719019475",
"telephone_number": "501-623-9355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4303 PARK AVE",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719019475",
"telephone_number": "501-623-9355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSEN",
"first_name": "KURT",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "D.C,",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-25",
"last_updated": "2020-01-15",
"certification_date": "2020-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "111NI0900X",
"taxonomy_group": "",
"desc": "Chiropractor, Internist",
"state": "AR",
"license": "1022",
"primary": false
},
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "AR",
"license": "1022",
"primary": false
},
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "AR",
"license": "1022",
"primary": false
},
{
"code": "111NP0017X",
"taxonomy_group": "",
"desc": "Chiropractor, Pediatric Chiropractor",
"state": "AR",
"license": "1022",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "AR",
"license": "1022",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AR",
"license": "1022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hot Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.