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RANDY O LARSON DC
NPI 1457419863
Chiropractor in Spooner, WI

Active since December 05, 2006
410 N RIVER ST, SPOONER, WI 54801(715) 635-9307 Get Directions Write a Review

NPPES record last updated: April 20, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Randy O Larson Dc NPPES

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

RANDY O LARSON DC (NPI 1457419863) is a healthcare organization registered as a chiropractor in Spooner, Wisconsin and active in the NPI registry since December 2006. The organization lists Randy Obert Larson, President, as its authorized official.

NPPES Registry Identity

NPI1457419863
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLARSON CHIROPRACTIC OFFICE INC
Location Address410 N RIVER STSpooner, WI 54801
Mailing Address410 N River StSpooner, WI 54801 · (715) 635-9307
Phone(715) 635-9307
Organization SubpartNo
Authorized OfficialRandy Obert LarsonPresident · (715) 635-9307
Enumeration DateDecember 5, 2006
Last NPPES UpdateApril 20, 2015
✔ NPI 1457419863 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 Names 1

Other NameRandy O Larson Dc

Other Identifiers 4

Other350052432Rr Medicare
Medicare UPINT62559
Medicare ID-Type Unspecified35247WI
Medicaid38752600WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Randy O Larson Dc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Randy Larson, DC
Chiropractic
NPI 1437347648
410 N RIVER ST
Spooner, WI 54801
(715) 635-9307
Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Larson Chiropractic Office Inc's NPI number?

The NPI number for Larson Chiropractic Office Inc is 1457419863. It was assigned to this organization in the NPPES registry on December 5, 2006. The provider is also known as Randy O Larson Dc.

Where is Larson Chiropractic Office Inc located?

Larson Chiropractic Office Inc is located at 410 N River St, Spooner, WI 54801. The listed phone number is (715) 635-9307.

What is Larson Chiropractic Office Inc's specialty?

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

Is Larson Chiropractic Office Inc enrolled in Medicare?

Yes. Larson Chiropractic Office Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Larson Chiropractic Office Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Larson Chiropractic Office Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Larson Chiropractic Office Inc was last updated on April 20, 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.