Individual provider Active NPI

Robert L Larson, DC

  • Chiropractor
  • Billings, MT
National Provider Identifier
1780787929
Registry record updated May 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
270 Issued in MT
Practice address
2147 Overland Ave
Suite 101
Billings, MT 59102-6478
Phone
(406) 655-0101
Fax
(406) 655-0032
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 270 MT Primary

Addresses

Primary practice location

2147 Overland Ave
Suite 101
Billings, MT 59102-6478

Mailing address

2147 Overland Ave
Suite 101
Billings, MT 59102-6478
Phone (406) 655-0101

Other identifiers 1

IdentifierTypeStateIssuer
42281OtherMTBCBS PROVIDER NUMBER

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
270MTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality a Professional Corporation Chiropractor PastSince Jul 9, 2014 Accepting new patients
Motion Diagnostics PastSince Apr 12, 2000 Accepting new patients
Jeffrey R Mitchell DC PC Chiropractor Past Accepting new patients

Organizations & group practices 3

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369958400000",
    "number": "1780787929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2147 OVERLAND AVE",
            "address_2": "SUITE 101",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591026478",
            "telephone_number": "406-655-0101",
            "fax_number": "406-655-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2147 OVERLAND AVE",
            "address_2": "SUITE 101",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591026478",
            "telephone_number": "406-655-0101",
            "fax_number": "406-655-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "ROBERT",
        "middle_name": "L",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2013-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "42281",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; 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.