DR. LARRY D NELSON (NPI# 1518986264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518986264 |
| Entity Type | Individual |
| Full Name | DR. LARRY D NELSON |
| Credential | DC |
| Practice Address |
2585 Channing Way Idaho Falls ID 83404-7516 |
| Practice Telephone | 2085220200 |
| Practice Fax Number | 2085236051 |
| Mailing Telephone | 2085220200 |
| Mailing Fax Number | 2085236051 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2010-07-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIA631 | ID | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE SHIELD | 000010020547 | 01 |
| ID | PALMETTO RAILROAD | 350035586 | 01 |
| ID | BLUE CROSS | C9453 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265601322 | Larry E Nelson | Pharmacist | 1307 2nd St S Unit C, Moorhead, MN 56560-4066 | 2008-02-22 |
| 1932292430 | Larry W. Nelson | Psychiatry & Neurology | 160 Medical Circle, First Floor, West Columbia, SC 29169-3656 | 2006-10-02 |
| 1659306603 | Larry H Nelson | Dentist | 5945 Wescott Rd, Columbia, SC 29212-2717 | 2006-07-11 |
| 1477510493 | Larry Ralph Nelson | Emergency Medicine | 809 S 15th St, Mount Vernon, WA 98274-4564 | 2006-04-26 |
| 1831167279 | Larry M Nelson | Podiatrist | 344 Lafayette Ave, Hawthorne, NJ 07506-2506 | 2006-03-10 |
| 1083033492 | Larry Nelson | Pharmacist | 1025 Garner Field Rd, Uvalde, TX 78801-4809 | 2014-04-14 |
| 1225260631 | Larry Nelson | Counselor | 214 Haight St, San Francisco, CA 94102-6127 | 2009-08-18 |
| 1306950076 | Larry Dean Nelson | Physician Assistant | 1001 Blythe Blvd Ste 300, Charlotte, NC 28203-5863 | 2006-08-18 |
| 1801814892 | Larry R. Nelson | Internal Medicine | 1800 Cooks Hill Rd, Centralia, WA 98531-9072 | 2006-07-17 |
| 1306864301 | Larry F Nelson | Anesthesiology | 2315 E Main St, New Iberia, LA 70560-4031 | 2006-07-17 |
| Street Address |
2585 CHANNING WAY |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-7516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588732523 | Eastern Idaho Chiropractic Clinic Pa | Chiropractor | 2585 Channing Way, Idaho Falls, ID 83404-7516 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| 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 |
|---|---|---|---|---|
| 1639655970 | Derek C Calaway | Chiropractor | 661 S Woodruff Ave, Idaho Falls, ID 83401-3362 | 2018-07-18 |
| 1275969206 | Chad Robert Webb | Chiropractor | 1797 W Broadway St, Idaho Falls, ID 83402-3045 | 2013-09-23 |
| 1316286081 | Fit 4 Life Chiropractic LLC | Chiropractor | 2086 E 25th St, Idaho Falls, ID 83404-6490 | 2013-01-31 |
| 1174889372 | Kelly D Harris Dc Pa | Chiropractor | 211 S Woodruff Ave Ste A1, Idaho Falls, ID 83401-4865 | 2012-04-02 |
| 1558500652 | Jaman B Brunson | Chiropractor | 3092 S 25th E, Idaho Falls, ID 83404-6520 | 2009-02-12 |
| 1861639221 | Justin Tyrell Hammon | Chiropractor | 2105 Niagara St, Idaho Falls, ID 83404-8026 | 2009-01-07 |
| 1649441726 | Wade Kelly Price | Chiropractor | 275 N Woodruff Ave, Idaho Falls, ID 83401-4303 | 2008-03-17 |
| 1184801946 | Wight Chiropractic, Pa | Chiropractor | 333 S. Woodruff Ave, Idaho Falls, ID 83401 | 2008-01-23 |
| 1477739639 | Sermon Chiropractic P.a. | Chiropractor | 3092 S. 25th E., Idaho Falls, ID 83404 | 2008-01-17 |
| 1437285632 | Kerry Vince Young | Chiropractor | 1846 1st St, Idaho Falls, ID 83401-4415 | 2007-02-24 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
Please comment or provide details below to improve the information on DR. LARRY D NELSON.
| 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.