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RANDY OBERT LARSON DC
NPI 1437347648
Chiropractor in Spooner, WI

Active since October 12, 2007
410 N RIVER ST, SPOONER, WI 54801(715) 635-9307 Get Directions Write a Review

NPPES record last updated: April 30, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Randy Obert Larson Dc NPPES

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

RANDY OBERT LARSON DC (NPI 1437347648) is an individual chiropractor in Spooner, Wisconsin, licensed in Wisconsin (1432012) and active in the NPI registry since October 2007. He is a graduate of Palmer College Chiropractic - Davenport (1977).

NPPES Registry Identity

NPI1437347648
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameRANDY OBERT LARSONCredential: DC
Location Address410 N RIVER STSpooner, WI 54801-1495
Mailing Address410 N River StSpooner, WI 54801-1495 · (715) 635-9307
Phone(715) 635-9307
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 1977
Enumeration DateOctober 12, 2007
Last NPPES UpdateApril 30, 2015
✔ NPI 1437347648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 1432012
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.
410 N RIVER ST, Spooner, WI 54801
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Other Identifiers 4

Medicare UPINT62559WI
Medicaid38752600WI
Medicare PIN000035247WI
Other350052432WI · Railroad Medicare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Randy Obert Larson Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284722018
PECOS Enrollment IDI20071113000205

Areas of Expertise CMS Part B claims

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, 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.
276 services67 patients

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.

VICKI L LARSON NCTMB
Massage Therapist
410 N RIVER ST
SPOONER, WI 54801
Washburn County (715) 635-9307
LARSON CHIROPRACTIC OFFICE INC
Chiropractor
410 N RIVER ST
SPOONER, WI 54801
Washburn County (715) 635-9307
MRS. WENDY J PRIGGE CADC III
Counselor
410 N RIVER ST, AURORA COMM COUNSELING EMPLOYEE SUPPORT & SERVICES DBA
SPOONER, WI 54801
Washburn County (715) 635-4858

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 Randy Larson's NPI number?

The NPI number for Randy Larson is 1437347648. It was assigned to this individual provider in the NPPES registry on October 12, 2007.

Where is Randy Larson located?

Randy Larson practices at 410 N River St, Spooner, WI 54801. The listed phone number is (715) 635-9307.

What is Randy Larson's specialty?

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

Is Randy Larson enrolled in Medicare?

Yes. Randy Larson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Randy Larson was last updated on April 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.