DR. LARRY G WILDE (D.C.) – Chiropractor, NPI 1770515934

DR. LARRY G WILDE (D.C.) is a healthcare provider. based in American fork, Utah. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 290149-1202 (UT). The NPI Number for DR. LARRY G WILDE (D.C.) is 1770515934

Main info

Male
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. LARRY G WILDE (D.C.)
NPI
1770515934
Phone
(890) 175-6883
Address
246 S 1100 E
Enumeration Date
7 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
WESTERN STATES COLLEGE OF CHIROPRACTIC
Secondary Phone
-
Graduation Year
1988 (38 years ago)
PAC ID
7719945369
Professional Enrollment ID
I20041229000222
Address ID
UT840032829AM246XX1100300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

319 CHIROPRACTIC in UT

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Provider Addresses for DR. LARRY G WILDE (D.C.)

  • North County Boulevard, American Fork, Utah County, Utah, 84003, United States

    AMERICAN FORK, UT 840032829

    Phone: (890) 175-6883

    Fax: (801) 756-9014

    Type: Location

  • 1550 North, Pleasant Grove, Utah County, Utah, 84062, United States

    PLEASANT GROVE, UT 840629003

    Phone: (801) 785-6784

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-12-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041229000222IChiropracticUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions25335$0
View full utilization report →

Insurance plans in this area (ZIP 84003)

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Reviews

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Frequently asked questions

What is DR. LARRY G WILDE (D.C.)'s NPI number?
DR. LARRY G WILDE (D.C.)'s NPI is 1770515934 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DR. LARRY G WILDE (D.C.)?
You should see DR. LARRY G WILDE (D.C.) as active in CMS-hosted NPPES data.
What expertise is attributed to DR. LARRY G WILDE (D.C.)?
DR. LARRY G WILDE (D.C.)'s specialty line reads Chiropractor. Clinical services aligned with this taxonomy classification.
Where in Utah is DR. LARRY G WILDE (D.C.) registered?
Use American Fork, Utah as the headline location for DR. LARRY G WILDE (D.C.) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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