Individual provider Active NPI

Larry Chrisman, D.C.

  • Chiropractor
  • Lafayette, CO
National Provider Identifier
1942210596
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5230 Issued in CO
Practice address
506 W Baseline Rd
Lafayette, CO 80026-1723
Phone
(303) 926-9199
Fax
(303) 926-9459
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5230 CO Primary

Addresses

Primary practice location

506 W Baseline Rd
Lafayette, CO 80026-1723

Mailing address

506 W Baseline Rd
Lafayette, CO 80026-1723
Phone (303) 926-9199

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040930000083 CO Practitioner - Chiropractic 7416926456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1575 E Bridge St
Brighton, CO 80601-1929
Phone (303) 655-9400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5230COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Back in Balance Chiropractic Inc Chiropractor CurrentSince Aug 6, 2004 Accepting new patients

Locations

1575 E Bridge St
Brighton, CO 80601
Phone (303) 655-9400

506 W Baseline Rd
Lafayette, CO 80026
Phone (303) 666-7685

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942210596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 W BASELINE RD",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800261723",
            "telephone_number": "303-926-9199",
            "fax_number": "303-926-9459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 W BASELINE RD",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800261723",
            "telephone_number": "303-926-9199",
            "fax_number": "303-926-9459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISMAN",
        "first_name": "LARRY",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

  • 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.
  • 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.