Larson Chiropractic Office Inc
NPI 1457419863ActiveOrganization· Chiropractor· Spooner, WI
Chiropractor in Spooner, Wisconsin, registered in NPPES in December 2006. The authorized official on file is Randy Obert Larson, DC, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1457419863 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 5, 2006 |
| Last updated in NPPES | Apr 20, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 1432012 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WI) |
|---|
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