Organization Active NPI

Larry E Masula Chiropractic Office Inc

  • Neurology Chiropractor
  • Chico, CA
National Provider Identifier
1932336096
Registry record updated Jun 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
DC11770 Issued in CA
Legal business name
LARRY E MASULA CHIROPRACTIC OFFICE INC
Practice address
30 Philadelphia Dr
Ste a
Chico, CA 95973-4932
Phone
(530) 342-6441
Fax
(530) 342-5441
NPI assigned
Jun 16, 2009
Last updated
Jun 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2009

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

Authorized official

Name
Larry Ernest Masula, DCNPI 1689780140
Title
President
Phone
(530) 342-6441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X DC11770 CA Primary

Addresses

Primary practice location

30 Philadelphia Dr
Ste a
Chico, CA 95973-4932

Mailing address

30 Philadelphia Dr
Ste a
Chico, CA 95973-4932
Phone (530) 342-6441

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091007000287 CA Part B Supplier - Clinic/Group Practice 7113063025 Receives reassigned benefits from 1 practitioner
Practice locations: Chico, CA

National Provider Directory

National Provider Directory

Locations

30 Philadelphia Dr
Ste A
Chico, CA 95973
Phone (530) 342-6441

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1932336096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PHILADELPHIA DR",
            "address_2": "STE A",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959734932",
            "telephone_number": "530-342-6441",
            "fax_number": "530-342-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PHILADELPHIA DR",
            "address_2": "STE A",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959734932",
            "telephone_number": "530-342-6441",
            "fax_number": "530-342-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY E MASULA CHIROPRACTIC OFFICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-16",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "MASULA",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "ERNEST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-342-6441",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "CA",
            "license": "DC11770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.