Individual provider Active NPI

Larry S Litrakis, DC

  • Chiropractor
  • Chattanooga, TN
National Provider Identifier
1639131626
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
TN758 Issued in TN
Practice address
4767 Highway 58
Ste 107
Chattanooga, TN 37416-2283
Phone
(423) 899-1010
Fax
(423) 899-1016
NPI assigned
Apr 5, 2006
Last updated
Jul 13, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X TN758 TN Primary

Addresses

Primary practice location

4767 Highway 58
Ste 107
Chattanooga, TN 37416-2283

Mailing address

4767 Highway 58
Ste 107
Chattanooga, TN 37416-2283
Phone (423) 899-1010

Other identifiers 1

IdentifierTypeStateIssuer
4117652OtherTNBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TN758TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Brown Chiropractic Chiropractor Past Accepting new patients
Northshore Chiropractic Clinic LLC Chiropractor PastSince Feb 14, 2006 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1639131626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4767 HIGHWAY 58",
            "address_2": "STE 107",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374162283",
            "telephone_number": "423-899-1010",
            "fax_number": "423-899-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4767 HIGHWAY 58",
            "address_2": "STE 107",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374162283",
            "telephone_number": "423-899-1010",
            "fax_number": "423-899-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITRAKIS",
        "first_name": "LARRY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "TN758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4117652",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.