LARS JOHNSON (NPI# 1023276979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023276979 |
| Entity Type | Individual |
| Full Name | LARS JOHNSON |
| Credential | DC |
| Practice Address |
401 W Water St Decorah IA 52101-0030 |
| Mailing Address |
Po Box 30 Decorah IA 52101-0030 |
| Practice Telephone | 5633823355 |
| Mailing Telephone | 5633823355 |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2008-05-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | A5367 | IA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | WELLMARK BCBS | 02265 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417022757 | Lars A Johnson | Dentist | 1722 W Algonquin Rd, Hoffman Estates, IL 60192-1573 | 2006-11-21 |
| 1619461928 | Lars Johnson | Student in an Organized Health Care Education/Training Program | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2018-06-20 |
| Street Address |
401 W WATER ST |
| City | DECORAH |
| State | IA |
| Zip Code | 52101-0030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841757911 | Andrew W Fritz | Specialist/Technologist | 700 College Drive, Regents Center, Decorah, IA 52101 | 2019-02-26 |
| 1265846935 | Amber Lynn Mccarville | Dentist | 501 Sanford, Decorah, IA 52101 | 2014-06-20 |
| 1669893988 | Winneshiek Medical Center | Clinic/Center | 112 East Main St., Ossian, IA 52101 | 2014-01-06 |
| 1467589317 | Brenda Harris | Acupuncturist | 309 West Broadway Street, Decorah, IA 52101 | 2007-02-27 |
| 1487721809 | Mary Christine Atkinson | Counselor | 1111 Paine Street, Decorah, IA 52101 | 2006-11-29 |
| 1578632220 | Kirsten Ann Ludwig | Counselor | 1111 Paine St, Decorah, IA 52101 | 2006-11-07 |
| 1760585350 | Dental Associates of Decorah PC | Dentist | 501 Sanford St, Decorah, IA 52101 | 2006-09-07 |
| 1780634196 | Theresa K Fullhart | Social Worker | 905 Montgomery Street, Decorah, IA 52101 | 2006-05-10 |
| 1487620688 | Mayo Clinic Hospital-rochester | Clinic/Center | 901 Montgomery Street, Decorah, IA 52101 | 2006-02-27 |
| 1205298668 | Benjamin Avi Levinson | Nurse Anesthetist, Certified Registered | 901 Montgomery St, Decorah, IA 52101 | 2016-03-24 |
| Find all providers in zip 52101 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760964449 | Peter Thompson | Chiropractor | 712 E Broadway St Ste C, Decorah, IA 52101-1915 | 2018-08-30 |
| 1265863716 | Laurie Meinholz | Chiropractor | 209 E Water St, Decorah, IA 52101-1803 | 2013-12-10 |
| 1669652871 | Decorah Chiropractice Center | Chiropractor | 903 Commerce Dr Ste A, Decorah, IA 52101-2357 | 2007-11-06 |
| 1134337637 | Cheryl Leann Flatin | Chiropractor | 801 Commerce Dr, Decorah, IA 52101-2344 | 2007-05-18 |
| 1497715247 | David Joseph Gehling | Chiropractor | 405 College Dr, Decorah, IA 52101-1090 | 2006-03-24 |
| 1073585659 | Jeffrey Dean Suhr | Chiropractor | 204 College Dr, Decorah, IA 52101-1305 | 2006-02-07 |
| 1811977473 | Rebecca J. Swella Smedsrud | Chiropractor | 810 S Mechanic St, Decorah, IA 52101-2146 | 2006-01-19 |
| 1962495143 | Kelly Vernon Reagan | Chiropractor | 300 E Water St, Decorah, IA 52101-1922 | 2005-08-24 |
| 1598185464 | Nordic Chiropractic LLC | Chiropractor | 209 E Water St, Decorah, IA 52101-1803 | 2014-04-18 |
| 1295035723 | Decorah Chiropractic P.C. | Chiropractor | 405 College Dr, Decorah, IA 52101-1090 | 2010-11-01 |
| Find all providers in DECORAH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.