DR. LARRY STEVEN BALSIMO DC
NPI 1619066875
Chiropractor in White Bear Lake, MN

Active since October 12, 2006
4066 WHITE BEAR AVE N, WHITE BEAR LAKE, MN 55110(651) 407-0402(651) 407-0413 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Larry Steven Balsimo Dc NPPES

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

DR. LARRY STEVEN BALSIMO DC (NPI 1619066875) is an individual chiropractor in White Bear Lake, Minnesota, licensed in Minnesota (#2606) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1619066875
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. LARRY STEVEN BALSIMOCredential: DC
Location Address4066 WHITE BEAR AVE NWhite Bear Lake, MN 55110-4305
Mailing Address4066 White Bear Ave NWhite Bear Lake, MN 55110-4305 · (651) 407-0402 · Fax (651) 407-0413
Fax(651) 407-0413
Sole ProprietorNo
Enumeration DateOctober 12, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1619066875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in MN · #2606
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.
4066 WHITE BEAR AVE N, White Bear Lake, MN 55110

Other Identifiers 1

Other302L1BAMN · Blue Cross Blue Shield

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 Larry Balsimo's NPI number?

The NPI number for Larry Balsimo is 1619066875. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Larry Balsimo located?

Larry Balsimo practices at 4066 White Bear Ave N, White Bear Lake, MN 55110. The listed phone number is (651) 407-0402.

What is Larry Balsimo's specialty?

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

When was this NPI record last updated?

The NPPES record for Larry Balsimo was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.