Ultimate Health Chiropractic Prof. LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1169 Issued in SD

Legal business name

ULTIMATE HEALTH CHIROPRACTIC PROF. LLC

Practice address

754 Main Street
Britton, SD 57430-0715

Phone

(605) 448-2499

NPI assigned

Aug 13, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Charley Ann Larson, D.C.NPI 1306081500

Title

Owner

Phone

(605) 448-2499

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charley Ann Larson, D.C.

  • Chiropractor
  • Britton, SD
  • NPI 1306081500
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1790090702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12475 426A AVE",
            "city": "LANGFORD",
            "state": "SD",
            "postal_code": "574545113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 MAIN STREET",
            "city": "BRITTON",
            "state": "SD",
            "postal_code": "574300715",
            "telephone_number": "605-448-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE HEALTH CHIROPRACTIC PROF. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-13",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "CHARLEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-448-2499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Britton, SD
• Providers in Britton, SD by specialty
• Chiropractor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.