Individual provider Active NPI

Kathryn Ruth Larson, D.C.

  • Chiropractor
  • Houston, TX
National Provider Identifier
1811996424
Registry record updated Jul 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12506 Issued in TX
Practice address
1035 Dairy Ashford Rd
Suite 125
Houston, TX 77079-4608
Phone
(832) 981-7610
NPI assigned
Jul 15, 2005
Reactivated
Apr 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12506 TX Primary

Addresses

Primary practice location

1035 Dairy Ashford Rd
Suite 125
Houston, TX 77079-4608

Mailing address

1035 Dairy Ashford Rd
Suite 125
Houston, TX 77079-4608
Phone (832) 981-7610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141211000546 TX Practitioner - Chiropractic 7012239536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1035 Dairy Ashford Rd
Suite 125
Houston, TX 77079-4691
Phone (832) 981-7610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12506TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Wellness Chiropractic of Houston PLLC Chiropractor CurrentSince Sep 24, 2014 Accepting new patients

Locations

1035 Dairy Ashford Rd
Ste 125
Houston, TX 77079
Phone (281) 531-7405

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": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405036800000",
    "number": "1811996424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 DAIRY ASHFORD RD",
            "address_2": "SUITE 125",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770794608",
            "telephone_number": "832-981-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 DAIRY ASHFORD RD",
            "address_2": "SUITE 125",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770794608",
            "telephone_number": "832-981-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "KATHRYN",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-15",
        "last_updated": "2014-07-11",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; 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.