Individual provider Active NPI

Laura N Larson, DC

  • Chiropractor
  • Avon, CO
National Provider Identifier
1710996897
Registry record updated Jun 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3879 Issued in CO
Practice address
51 Eagle Rd
Building 3
Avon, CO 80920
Phone
(970) 300-1987
Fax
(719) 631-2521
NPI assigned
Aug 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9994 TX
Chiropractor 111N00000X 3879 CO Primary

Addresses

Primary practice location

51 Eagle Rd
Building 3
Avon, CO 80920

Mailing address

PO Box 1468
Avon, CO 81620-1468
Phone (970) 300-1987

Other names 1

  • Laura Nicole Larson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3879COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Chiropractic and Nutrition, PA Chiropractor PastSince Apr 30, 2003 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.

NPI Registry JSON

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

{
    "created_epoch": "1154822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1710996897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1468",
            "city": "AVON",
            "state": "CO",
            "postal_code": "816201468",
            "telephone_number": "970-300-1987",
            "fax_number": "719-631-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 EAGLE RD",
            "address_2": "BUILDING 3",
            "city": "AVON",
            "state": "CO",
            "postal_code": "80920",
            "telephone_number": "970-300-1987",
            "fax_number": "719-631-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "LAURA",
        "middle_name": "N",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-06",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9994",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "3879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "LARSON",
            "middle_name": "NICOLE",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Avon, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.