Larry C Chapa, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

49420641206 Issued in UT

Practice address

226 N 1100 E
Suite a
American Fork, UT 84003-2054

Phone

(801) 855-3850

Fax

(801) 855-3847

NPI assigned

Apr 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912125188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 N 1100 E",
            "address_2": "SUITE A",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032054",
            "telephone_number": "801-855-3850",
            "fax_number": "801-855-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 N 1100 E",
            "address_2": "SUITE A",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032054",
            "telephone_number": "801-855-3850",
            "fax_number": "801-855-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPA",
        "first_name": "LARRY",
        "middle_name": "C",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "49420641206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarisse Marie Chadwick, LPC
• Sadey Jo Chadwick, FNP
• Laurie Lynne Chamberlain
• Monica Chamberlain
• Kellie Anne Chandler
• Kalli Chason, DEM
• Heidi H. Cheney, LCSW
• Todd L Chidester, FNP
• Child and Adolescent Treatment Specialist PLLC
• Jamie Child

• Physician Assistant in American Fork, UT
• Providers in American Fork, UT by specialty
• Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.