Clinton Chad Larson, N.M.D., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC26086 Issued in CA

Practice address

215 S Highway 101 Ste 109
Solana Beach, CA 92075-1844

Phone

(858) 209-2400

NPI assigned

Apr 4, 2007

Last updated

Mar 11, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1952423477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S HIGHWAY 101 STE 109",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751844",
            "telephone_number": "858-209-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S HIGHWAY 101 STE 109",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751844",
            "telephone_number": "858-209-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "CLINTON",
        "middle_name": "CHAD",
        "name_prefix": "Dr.",
        "credential": "N.M.D., D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2024-03-11",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26086",
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND619",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troy Lewis Kurz
• Marti Linda Kutnik, L.C.S.W., M.F.T.
• Michelle Lalouche-Kadden, PHD
• Martin Landau-North, MFT
• Samantha Larkin, ND
• Page M Lauer, MFT
• Larry Laveman, LCSW
• Teri Lawton, PH.D.
• Christine Le
• Lead the Pack Physiotherapy Corp

• Chiropractor in Solana Beach, CA
• Providers in Solana Beach, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.