Kodi Larson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1393 Issued in SD

Practice address

3700 S Kiwanis Ave Ste 3
Sioux Falls, SD 57105-4294

Phone

(605) 274-7007

NPI assigned

Jan 6, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Larson Chiropractic, PLLC

  • Chiropractor
  • Sioux Falls, SD
  • NPI 1457189813
  NPD Authorized official

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1700474673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 S KIWANIS AVE STE 3",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571054294",
            "telephone_number": "605-274-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 S KIWANIS AVE STE 3",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571054294",
            "telephone_number": "605-274-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "KODI",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2020-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric A Larson, M.D.
• Georgia Larson, LN
• Jace Larson
• Julia Grace Larson, MS, LPC-MH, LAC
• Katie Elizabeth Larson, MD
• Lorilee C Larson, P.T.
• Matthew Daniel Larson, MD
• Nicole Larson, OTR
• Rebecca Larson
• Rebecca L Larson, O.D.

• Chiropractor in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Chiropractor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.