Grant Larie, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5174-12 Issued in WI

Practice address

502 George St
De Pere, WI 54115-2714

Phone

(920) 337-0103

Fax

(920) 338-9066

NPI assigned

May 4, 2016

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 WI

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chiropractic Health and Rehabilitation CenterGroup PAC ID 3971671967, 3 clinicians

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.

• Chiropractic Health & Rehabilitation Center

  • Chiropractor
  • Greenville, WI
  • NPI 1467667972
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1770939159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 GEORGE ST",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541152714",
            "telephone_number": "920-337-0103",
            "fax_number": "920-338-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 GEORGE ST",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541152714",
            "telephone_number": "920-337-0103",
            "fax_number": "920-338-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARIE",
        "first_name": "GRANT",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5174-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Lacoursiere, PT
• Kathryn A Lafond, MD
• Angela Rose Lamine, LPN
• Courtney Langer, RBT
• Christina Lapalm
• Chris N Larson, MD
• Jody B Larson, LPC, ATRL
• Maggie M Larson, OTR/L
• Cynthia B Lasecki, MD
• Charles J Latorre, LCSW

• Chiropractor in De Pere, WI
• Providers in De Pere, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.