Nels V Larsen, MS DC RD

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7110 Issued in AZ

Practice address

5099 W Dobbins Rd
Ste B
Laveen, AZ 85339-9733

Phone

(602) 237-2555

Fax

(480) 275-3774

NPI assigned

May 4, 2006

Last updated

Jul 9, 2014By 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 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1999

Medicare assignment

May accept Medicare assignment

Group practices

Palm Tree PLLCGroup PAC ID 4789748823, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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

• Palm Tree, PLLC

  dba In & Out Chiropractic

  • Chiropractor
  • Laveen, AZ
  • NPI 1417125915
  Medicare reassignment Care Compare group NPD
• Health Solutions Wellness Center

  • Chiropractor
  • Chandler, AZ
  • NPI 1477681815
  NPD (past) Authorized official

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1639127442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853390091",
            "telephone_number": "602-237-2555",
            "fax_number": "480-275-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5099 W DOBBINS RD",
            "address_2": "STE B",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853399733",
            "telephone_number": "602-237-2555",
            "fax_number": "480-275-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "NELS",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MS DC RD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7110",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7139212",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "AZ0156940",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kora Behavioral Health Services
• Caitlin Kurz, DMD
• Teresa Lageson, PA-C
• Fatima Ayodele Lah, FNP
• Carolina Lara-Lerma, MA, LPC
• Laveen Elementary School District
• Laveen Elementary School District #59
• Laveen Elementary School District #59
• Laveen Harmony Living Inc.
• Laveen Modern Dentistry

• Chiropractor in Laveen, AZ
• Providers in Laveen, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.

Verify at the official NPI Registry.