AUDREY LARSON (NPI# 1821547043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821547043 |
| Entity Type | Individual |
| Full Name | AUDREY LARSON |
| Practice Address |
3434 W Illinois Ave Dallas TX 75211-8709 |
| Mailing Address |
243 Reeder Dr Coppell TX 75019-4812 |
| Practice Telephone | 2143399111 |
| Mailing Telephone | 5128970514 |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2016-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 13303 | TX | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588849525 | Audrey Jo Larson | Registered Nurse | 2624 9th Ave S, Fargo, ND 58103-2350 | 2008-01-09 |
| Street Address |
3434 W ILLINOIS AVE |
| City | DALLAS |
| State | TX |
| Zip Code | 75211-8709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124134176 | Healthkwik Texas Inc | Clinic/Center | 3434 W Illinois Ave, Dallas, TX 75211-8796 | 2006-08-22 |
| 1205483864 | Behzad Azamvaghefi | Chiropractor | 3434 W Illinois Ave, Dallas, TX 75211-8709 | 2019-08-19 |
| 1215448063 | Amber Marie Smith | Chiropractor | 3434 W Illinois Ave, Dallas, TX 75211-8709 | 2017-10-19 |
| 1265818165 | Parsa Diagnostics | Chiropractor | 3434 W Illinois Ave, Ste. 118, Dallas, TX 75211-8709 | 2015-08-03 |
| 1285016618 | Jonathan To | Chiropractor | 3434 W Illinois Ave, Suite 118, Dallas, TX 75211-8709 | 2015-06-22 |
| 1225434533 | Long Nguyen | Chiropractor | 3434 W Illinois Ave, 118, Dallas, TX 75211-8709 | 2014-11-13 |
| 1477894798 | Muhibunnisa Shaik | Dentist | 3434 W Illinois Ave, Dallas, TX 75211-8709 | 2013-03-12 |
| 1861744898 | Chriselda Juanita Schroeder | Nurse Practitioner | 3434 W Illinois Ave, Ste 306-3, Dallas, TX 75211-8709 | 2012-10-15 |
| 1508151994 | Kathryn Nicole Gray | Nurse Practitioner | 3434 W Illinois Ave, 306-3, Dallas, TX 75211-8709 | 2011-06-14 |
| 1235435298 | G S Evans Dds Pa | Dentist | 3434 W Illinois Ave, Suite204, Dallas, TX 75211-8796 | 2011-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447883863 | Cre8tive Pediatric Dental Group | Dentist | 2201 Fort Worth Avenue, Dallas, TX 75211 | 2020-02-13 |
| 1104317601 | May Amria | Dentist | 3434 W Illinois Ave Ste 307, Dallas, TX 75211 | 2018-05-21 |
| 1235547787 | Los Barrios Unidos Community Clinic, Inc | Clinic/Center | 4732 W. Illinois, Dallas, TX 75211 | 2014-07-29 |
| 1568733616 | Amit Sethi | Dentist | 4475 Adler Dr Ste 103, Dallas, TX 75211 | 2012-01-21 |
| 1265764914 | Thomas Lee Schiller | Dentist | 1441 N. Cockrell Hill Rd.., Dallas, TX 75211 | 2010-02-05 |
| 1407030570 | Sylvia Dupuy | Speech-Language Pathologist | 1353 N. Westmoreland Rd., Bldg F, Dallas, TX 75211 | 2007-12-24 |
| 1801088802 | Smile Care Orthodontics | Dentist | 4390 I-30, Ste 200, Dallas, TX 75211 | 2007-08-14 |
| 1104047364 | Ronald Leon Thomas | Pharmacist | 1350 N. Westmoreland, Pharmacy Service, Dallas, TX 75211 | 2007-05-02 |
| 1578785515 | Rabiu E Omolaja | Case Manager/Care Coordinator | 1353 N. Westmoreland Road #2, Dallas, TX 75211 | 2007-05-02 |
| 1982828687 | Yokitha Kenyetta Hamp | Counselor | 1253 Westmoreland, Dallas, TX 75211 | 2007-04-12 |
| Find all providers in zip 75211 | ||||
| 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 |
|---|---|---|---|---|
| 1205442480 | Sydni Leigh Mcdonald-hughes | Chiropractor | 1152 N Buckner Blvd Ste 100b, Dallas, TX 75218-3435 | 2020-09-22 |
| 1093332157 | Musa S Hasan | Chiropractor | 9669 N Central Expy Ste 200, Dallas, TX 75231-5054 | 2020-07-06 |
| 1750905683 | James Jakes II | Chiropractor | 155 Parkhouse St # 103, Dallas, TX 75207-7211 | 2020-06-06 |
| 1386267052 | Demetris William Elia | Chiropractor | 7712 Royal Ln Apt C, Dallas, TX 75230-3704 | 2020-05-28 |
| 1093336547 | Michael Martinez | Chiropractor | 3619 Throckmorton St, Dallas, TX 75219-3743 | 2020-05-06 |
| 1588285746 | Sunghyun Kim | Chiropractor | 2000 Royal Ln Ste 105, Dallas, TX 75229-3881 | 2020-04-29 |
| 1164043451 | Tiffany Hall | Chiropractor | 4217 Swiss Ave Apt 326, Dallas, TX 75204-6683 | 2020-04-28 |
| 1689205635 | Dallas Federal Physical Therapy and Rehabilitation LLC | Chiropractor | 8204 Elmbrook Dr Ste 175, Dallas, TX 75247-7212 | 2020-01-29 |
| 1669018560 | Light Matters, LLC | Chiropractor | 4400 W University Blvd Apt 17206, Dallas, TX 75209-3702 | 2019-11-26 |
| 1063055721 | Dallas Chiropractic & Injury Center Inc | Chiropractor | 2351 W Northwest Hwy Ste 3105, Dallas, TX 75220-4453 | 2019-10-24 |
| Find all providers in DALLAS | ||||
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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.