Active NPI
Larry Lee Norris, D.C.
- Chiropractor
- Portage, MI
National Provider Identifier
1669529012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301006036
- Practice address
- 6749 S Westnedge Ave
Suite B
Portage, MI 49002-3574 - Phone
- (269) 324-3131
- Fax
- (269) 329-2983
- NPI assigned
- Jan 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301006036 | MI | Primary |
Addresses
Primary practice location
6749 S Westnedge Ave
Suite B
Portage, MI 49002-3574
Mailing address
6749 S Westnedge Ave
Suite B
Portage, MI 49002-3574
Phone (269) 324-3131
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 950C96411 | Other | MI | BLUE CROSS BLUE SHIELD |
| G04627 | Other | MI | BLUE CARE NETWORK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050107000078 | MI | Practitioner - Chiropractic | 4981652872 |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3719 S Weestnedge Ave
Kalamazoo, MI 49088
6749 S Westnedge Ave
Suite B
Portage, MI 49002-3556
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Michigan Chiropractic, Inc, | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Three Rivers, MI
- NPI 1437423951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669529012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6749 S WESTNEDGE AVE",
"address_2": "SUITE B",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490023574",
"telephone_number": "269-324-3131",
"fax_number": "269-329-2983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6749 S WESTNEDGE AVE",
"address_2": "SUITE B",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490023574",
"telephone_number": "269-324-3131",
"fax_number": "269-329-2983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORRIS",
"first_name": "LARRY",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301006036",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "950C96411",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "G04627",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portage, MI
Sources for this page
- 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.
- 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.