Organization Active NPI

Larimore Chiropractic, PC

  • Chiropractor
  • Tucson, AZ
National Provider Identifier
1669641072
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4442 Issued in AZ
Legal business name
LARIMORE CHIROPRACTIC, PC
Practice address
3777 E Golder Ranch Dr
Tucson, AZ 85739-9797
Phone
(520) 825-3103
Fax
(520) 825-2225
NPI assigned
Feb 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Dr. Trudy Larimore Walker, D.C.NPI 1053495796
Title
Owner/President
Phone
(520) 825-3103

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4442 AZ Primary

Addresses

Primary practice location

3777 E Golder Ranch Dr
Tucson, AZ 85739-9797

Mailing address

PO Box 8681
Tucson, AZ 85738-0681
Phone (520) 825-3103

Other identifiers 6

IdentifierTypeStateIssuer
1Z5617OtherAZHEALTHNET
1024511OtherAZAMERICAN SPECIALTY HEALTH
1053495796OtherAZBLUE CROSS BLUE HIELD AZ
623176OtherAZAM CHIRO NETWORK
421915OtherAZCOVENTRY
2455270OtherAZAETNA

Other names 1

  • CATALINA MOUNTAIN CHIROPRACTIC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080422000012 AZ Part B Supplier - Clinic/Group Practice 9638257314 Receives reassigned benefits from 1 practitioner
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1669641072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8681",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857380681",
            "telephone_number": "520-825-3103",
            "fax_number": "520-825-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3777 E GOLDER RANCH DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857399797",
            "telephone_number": "520-825-3103",
            "fax_number": "520-825-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARIMORE CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "TRUDY",
        "authorized_official_middle_name": "LARIMORE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "520-825-3103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "4442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1Z5617",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPECIALTY HEALTH",
            "identifier": "1024511",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE HIELD  AZ",
            "identifier": "1053495796",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AM CHIRO NETWORK",
            "identifier": "623176",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "421915",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2455270",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CATALINA MOUNTAIN CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.