Active NPI
Laura K Barry, D.C.
- Chiropractor
- Lakeville, MN
National Provider Identifier
1053447987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4674
- Practice address
- 16283 Ipava Ave
Lakeville, MN 55044-4658 - Phone
- (952) 898-2287
- Fax
- (952) 898-3287
- NPI assigned
- Feb 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4674 | MN | Primary |
Addresses
Primary practice location
16283 Ipava Ave
Lakeville, MN 55044-4658
Mailing address
798 Watson Ave
Saint Paul, MN 55102-3918
Phone (651) 224-5887
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
24 E N St
Coal City, IL 60416-1087
Phone (815) 634-0445
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4674 | MN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weber Micetich Chiropractic P.C. | Chiropractor | Current | Accepting new patients |
Locations
24 E North St
Coal City, IL 60416
Phone (815) 634-0445
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Coal City, IL
- NPI 1003933300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053447987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "798 WATSON AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551023918",
"telephone_number": "651-224-5887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16283 IPAVA AVE",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550444658",
"telephone_number": "952-898-2287",
"fax_number": "952-898-3287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRY",
"first_name": "LAURA",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "4674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.