Larry Steven Balsimo, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

#2606 Issued in MN

Practice address

4066 White Bear Ave N
White Bear Lake, MN 55110-4305

Phone

(651) 407-0402

Fax

(651) 407-0413

NPI assigned

Oct 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619066875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4066 WHITE BEAR AVE N",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551104305",
            "telephone_number": "651-407-0402",
            "fax_number": "651-407-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4066 WHITE BEAR AVE N",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551104305",
            "telephone_number": "651-407-0402",
            "fax_number": "651-407-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALSIMO",
        "first_name": "LARRY",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "#2606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "302L1BA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Bachman, MD
• Jane Galvin Bacon, MA LP LMFT
• Madeline Bahnemann
• Sara Jo Bakker
• Ritamarie Risley Balcerzak, M.A.
• Iman O Barento
• Barr Family Chiropractic & Sports Clinic
• James T Barr, DC, CCSP
• Diane Elizabeth Bauer, LICSW
• Kathleen Elizabeth Bauer, M.D.

• Chiropractor in White Bear Lake, MN
• Providers in White Bear Lake, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.