Brant Adam Larsen, BRANT LARSEN D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4631 Issued in MN

Practice address

25 Lake St N
Suite 217
Forest Lake, MN 55025-2535

Phone

(651) 982-1804

NPI assigned

May 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brant a. Larsen D.C., P.a.

  dba Health Dynamics

  • Chiropractor
  • Forest Lake, MN
  • NPI 1922279215
  Authorized official Same address or phone

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

{
    "created_epoch": "1178928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922213941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 LAKE ST N",
            "address_2": "SUITE 217",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550252535",
            "telephone_number": "651-982-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 LAKE ST N",
            "address_2": "SUITE 217",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550252535",
            "telephone_number": "651-982-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "BRANT",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "BRANT LARSEN D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakes International Language Academy
• Lakes Snyder Drug, Inc
• Lakewoods Chiropractic P.a.
• Rita Lambrecht, PT
• Christensia Neng Larkey, MBA
• Peter D Larson, DPT
• Laskow Chiropractic Clinic PA
• James Allen Laskow, DC
• David Jeffrey Lewis, D.C.
• Kyle Lewis, D.C.

• Chiropractor in Forest Lake, MN
• Providers in Forest Lake, MN by specialty
• Chiropractor in Minnesota

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.