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DR. KRISTOFER DANIEL LARSON DC
NPI 1417029976
Chiropractor - Sports Physician in Wasilla, AK

Active since November 13, 2006PECOS EnrolledAccepts Medicare Assignment
1001 E BOGARD RD, WASILLA, AK 99654(907) 376-2225(907) 376-9225 Get Directions Write a Review

NPPES record last updated: January 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kristofer Daniel Larson Dc NPPES

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

DR. KRISTOFER DANIEL LARSON DC (NPI 1417029976) is an individual sports physician in Wasilla, Alaska, licensed in Alaska (435) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Western States College Of Chiropractic (2005).

NPPES Registry Identity

NPI1417029976
Entity TypeIndividualMale
Primary Taxonomy111NS0005X
Provider Legal NameDR. KRISTOFER DANIEL LARSONCredential: DC
Location Address1001 E BOGARD RDWasilla, AK 99654
Mailing Address1001 E Bogard RdWasilla, AK 99654 · (907) 376-2225 · Fax (907) 376-9225
Phone(907) 376-2225
Fax(907) 376-9225
Sole ProprietorNo
Medical School CMSWestern States College Of ChiropracticGraduated 2005
Enumeration DateNovember 13, 2006
Last NPPES UpdateJanuary 26, 2025
NPPES CertifiedJanuary 26, 2025
✔ NPI 1417029976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License✔ Licensed in AK · 435
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
1001 E BOGARD RD, Wasilla, AK 99654
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Other Identifiers 1

MedicaidCH0070AK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

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. Kristofer Daniel Larson 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 ID143238105
PECOS Enrollment IDI20060403000189
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
907 services87 patients
Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
265 services52 patients

Other Providers at the Same Location NPPES 19

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

DR DANIEL W LARSON PC
Chiropractor
1001 E BOGARD RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 376-2225
SPINE AND SPORTS INJURY CENTER, LLC
Family Medicine
1001 E BOGARD RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 376-2225
MAXWELL PIERCE WHITE PT, DPT
Physical Therapist
1001 E BOGARD RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 373-7246
MRS. CAROLYN MARGARET BLACK ATC
Specialist/Technologist (Athletic Trainer)
1001 E BOGARD RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 376-2225
MRS. AMANDA CONSTANCE WEIDMAN APRN, FNP-C
Nurse Practitioner
1001 E BOGARD RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 373-2225
BACK IN ACTION PHYSICAL THERAPY, LLC
Physical Therapist
1001 E BOGARD RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 376-2225
MELANIE J KIMMERY ANP
Nurse Practitioner (Primary Care)
1001 E BOGARD RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 373-2225
DR. DANIEL WERNER LARSON DC
Chiropractor
1001 E BOGARD RD
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 376-2225

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 Kristofer Larson's NPI number?

The NPI number for Kristofer Larson is 1417029976. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Kristofer Larson located?

Kristofer Larson practices at 1001 E Bogard Rd, Wasilla, AK 99654. The listed phone number is (907) 376-2225.

What is Kristofer Larson's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Kristofer Larson enrolled in Medicare?

Yes. Kristofer Larson 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.

What insurance does Kristofer Larson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Kristofer Larson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kristofer Larson was last updated on January 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.