Individual provider Active NPI

Brooks Cyril Laber, D.C.

  • Chiropractor
  • Shakopee, MN
National Provider Identifier
1134423023
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5462 Issued in MN
Practice address
1100 4TH Ave E
Ste 220
Shakopee, MN 55379-1689
Phone
(952) 456-6611
NPI assigned
Jan 6, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5462 MN Primary

Addresses

Primary practice location

1100 4TH Ave E
Ste 220
Shakopee, MN 55379-1689

Mailing address

1100 4TH Ave E
Ste 220
Shakopee, MN 55379-1689
Phone (952) 456-6611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110412000816 MN Practitioner - Chiropractic 3072797224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

287 Marschall Rd
Suite 104
Shakopee, MN 55379-1678
Phone (952) 456-6611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5462MNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Brooks Chiropractic, PLLC Chiropractor CurrentSince Apr 4, 2013 Accepting new patients
Family Chiropractic of Shakopee, P.a. Chiropractor Past Accepting new patients

Locations

1100 4th Ave E
Ste 220
Shakopee, MN 55379
Phone (701) 471-3223

287 Marschall Rd
Ste 104
Shakopee, MN 55379
Phone (952) 456-6611

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1134423023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 4TH AVE E",
            "address_2": "STE 220",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553791689",
            "telephone_number": "952-456-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 4TH AVE E",
            "address_2": "STE 220",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553791689",
            "telephone_number": "952-456-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABER",
        "first_name": "BROOKS",
        "middle_name": "CYRIL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-06",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shakopee, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.

Verify at the official NPI Registry.