DR. DEREK JONATHAN LARSEN DC
NPI 1043890742
Chiropractor in Juneau, AK

Active since April 08, 2021Accepts Medicare Assignment
800 GLACIER AVE STE 100, JUNEAU, AK 99801(907) 202-8817 Get Directions Write a Review

NPPES record last updated: April 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Derek Jonathan Larsen Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DEREK JONATHAN LARSEN DC (NPI 1043890742) is an individual chiropractor in Juneau, Alaska, licensed in Alaska (168301) and active in the NPI registry since April 2021. He is a graduate of Life Chiropractic College - West (2020).

NPPES Registry Identity

NPI1043890742
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. DEREK JONATHAN LARSENCredential: DC
Location Address800 GLACIER AVE STE 100Juneau, AK 99801-1852
Mailing Address800 Glacier Ave Ste 100Juneau, AK 99801-1852 · (907) 202-8817
Sole ProprietorNo
Medical School CMSLife Chiropractic College - WestGraduated 2020
Enumeration DateApril 8, 2021
NPPES CertifiedApril 8, 2021
NPI 1043890742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in AK · 168301
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
800 GLACIER AVE STE 100, Juneau, AK 99801

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Derek Jonathan Larsen Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911482294
PECOS Enrollment IDI20260403002197

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
800 GLACIER AVE STE 100
JUNEAU, AK 99801
Chiropractor
800 GLACIER AVE STE 100
JUNEAU, AK 99801
Chiropractor
800 GLACIER AVE STE 100
JUNEAU, AK 99801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derek Larsen's NPI number?

The NPI number for Derek Larsen is 1043890742. It was assigned to this individual provider in the NPPES registry on April 8, 2021.

Where is Derek Larsen located?

Derek Larsen practices at 800 Glacier Ave Ste 100, Juneau, AK 99801. The listed phone number is (907) 202-8817.

What is Derek Larsen's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Derek Larsen enrolled in Medicare?

Yes. Derek Larsen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Derek Larsen was last updated on April 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.