Individual provider Active NPI

Larry Dale Elford, D.C.

  • Chiropractor
  • Del Rio, TX
National Provider Identifier
1801173935
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11897 Issued in TX
Practice address
2400 Veterans Blvd
Suite 25
Del Rio, TX 78840-3136
Phone
(830) 488-6105
NPI assigned
Nov 3, 2011
Last updated
Nov 3, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11897 TX Primary

Addresses

Primary practice location

2400 Veterans Blvd
Suite 25
Del Rio, TX 78840-3136

Mailing address

2400 Veterans Blvd
Suite 25
Del Rio, TX 78840-3136
Phone (830) 488-6105

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
11897TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1801173935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 VETERANS BLVD",
            "address_2": "SUITE 25",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788403136",
            "telephone_number": "830-488-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 VETERANS BLVD",
            "address_2": "SUITE 25",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788403136",
            "telephone_number": "830-488-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELFORD",
        "first_name": "LARRY",
        "middle_name": "DALE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Rio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.