Active NPI
Brooks Cyril Laber, D.C.
- Chiropractor
- Shakopee, MN
National Provider Identifier
1134423023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5462
- 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
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 | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5462 | MN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brooks Chiropractic, PLLC | Chiropractor | Current | 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.
-
- Chiropractor
- Shakopee, MN
- NPI 1790026441
-
- Chiropractor
- Shakopee, MN
- NPI 1538481734
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.