Active NPI
Jeremiah Emil Larsen, D.C.
- Chiropractor
- Volga, SD
National Provider Identifier
1689868952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1144
- Practice address
- 207 Kasan Ave
Volga, SD 57071 - Phone
- (605) 627-9919
- NPI assigned
- Aug 30, 2007
- Last updated
- May 27, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1175 | MT | |
| Chiropractor | 111N00000X | 1144 | SD | Primary |
Addresses
Primary practice location
207 Kasan Ave
Volga, SD 57071
Mailing address
PO Box 19
Volga, SD 57071-0019
Phone (605) 627-9919
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2007
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 19
Volga, SD 57071
PO Box
Suite 19
Volga, SD 57071-0019
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Larsen Chiropractic of South Dakota | Chiropractor | Current | 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, 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": "1188432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243382400000",
"number": "1689868952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19",
"city": "VOLGA",
"state": "SD",
"postal_code": "570710019",
"telephone_number": "605-627-9919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 KASAN AVE",
"city": "VOLGA",
"state": "SD",
"postal_code": "57071",
"telephone_number": "605-627-9919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSEN",
"first_name": "JEREMIAH",
"middle_name": "EMIL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-30",
"last_updated": "2009-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MT",
"license": "1175",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SD",
"license": "1144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Volga, SD
- Avera McKennan (Avera Medical Group Volga)
- Lindsey Bothwell
- City of Brookings
- Dakota Sun Assisted Living Inc
- Larsen Chiropractic of South Dakota (Larsen Chiropractic)
- Timeaki Sharlana Leighton, CRT
- Martha's Oasis Care Center Volga, Inc
- Thomas Dean Papiernik, PARAMEDIC
- PT Partners South Dakota, LLC
- Michelle Lana Ruesink
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; 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.