Active NPI
Gerald Burkely Larsen, D.C.
- Chiropractor
- Ogden, UT
National Provider Identifier
1821314824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7564602-1202
- Practice address
- 5089 Adams Ave
Ogden, UT 84403-4111 - Phone
- (801) 479-3200
- Fax
- (866) 479-1660
- NPI assigned
- Apr 15, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 7564602-1202 | UT | Primary |
Addresses
Primary practice location
5089 Adams Ave
Ogden, UT 84403-4111
Mailing address
5089 Adams Ave
Ogden, UT 84403-4111
Phone (801) 479-3200
Other names 1
- Burke Larsen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5089 Adams Ave
Ogden, UT 84403-4111
Phone (801) 479-3200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7564602-1202 | UT | MD | Chiropractor |
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.
-
- Chiropractor
- Ogden, UT
- NPI 1639590961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761091200000",
"number": "1821314824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5089 ADAMS AVE",
"city": "OGDEN",
"state": "UT",
"postal_code": "844034111",
"telephone_number": "801-479-3200",
"fax_number": "866-479-1660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5089 ADAMS AVE",
"city": "OGDEN",
"state": "UT",
"postal_code": "844034111",
"telephone_number": "801-479-3200",
"fax_number": "866-479-1660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSEN",
"first_name": "GERALD",
"middle_name": "BURKELY",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-15",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "7564602-1202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BURKE",
"last_name": "LARSEN",
"credential": "D.C.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.