Larimore Chiropractic & Massage LLC
Organization Active NPI Chiropractor · Longmont, CO
NPI 1710141833 · NPPES record last updated Sep 25, 2008
Key facts
- NPI
- 1710141833
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 4414 (CO)
- Legal business name
- LARIMORE CHIROPRACTIC & MASSAGE LLC
- Practice address
- 1225 Ken Pratt Blvd
Suite 222
Longmont, CO 80501-6518 - Phone
- (303) 772-3100
- NPI assigned
- Jul 17, 2008
- Organization subpart
- No
Authorized official
- Name
- Jennifer L Depler
- Title
- Ca
- Phone
- (720) 494-0708
Practitioners 5
-
Andrew Romoda, L.AC
-
Jonathan C Shum, DC
-
Lauren Jordan, L.AC.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090219000615 | CO | Part B Supplier - Clinic/Group Practice | 0941365290 |
Receives reassigned benefits from 1 practitioner Practice locations: Longmont, CO |
National Provider Directory
Locations
1225 Ken Pratt Blvd
Unit 222
Longmont, CO 80501
Phone (303) 772-3100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 4414 | CO | Yes |
Addresses
Primary practice location
1225 Ken Pratt Blvd
Suite 222
Longmont, CO 80501-6518
Mailing address
1225 Ken Pratt Blvd
Suite 222
Longmont, CO 80501-6518
Phone (303) 772-3100
Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.