Individual provider Active NPI

Larry J Infield, D.C.

  • Chiropractor
  • Kingsville, OH
National Provider Identifier
1992835987
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
694 Issued in OH
Practice address
6177 Lake St
Kingsville, OH 44048
Phone
(440) 224-0680
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 694 OH Primary

Addresses

Primary practice location

6177 Lake St
Kingsville, OH 44048

Mailing address

PO Box 62
Kingsville, OH 44048-0062

Other identifiers 2

IdentifierTypeStateIssuer
0346281MedicaidOH
000000130893OtherANTHEM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080610000130 OH Practitioner - Chiropractic 7315017837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infield Chiropractic Office, Inc.Group PAC ID 3678643194, 5 clinicians

Practice addresses (Care Compare)

6177 Lake St
Kingsville, OH 44048-9703
Phone (440) 224-0680

PO Box
Suite 62
Kingsville, OH 44048-0062

Hospital & facility affiliations

  • Ashtabula County Medical Center Hospital, Ashtabula, OH, CCN 360125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
694OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Infield Chiropractic Office, Inc. Chiropractor CurrentSince Dec 31, 1975 Accepting new patients

Locations

22570 Lake Shore Blvd
Euclid, OH 44123
Phone (216) 938-7889

6177 Lake St
Kingsville, OH 44048
Phone (440) 224-0680

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1992835987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62",
            "city": "KINGSVILLE",
            "state": "OH",
            "postal_code": "440480062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6177 LAKE ST",
            "city": "KINGSVILLE",
            "state": "OH",
            "postal_code": "44048",
            "telephone_number": "440-224-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INFIELD",
        "first_name": "LARRY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0346281",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000130893",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.