Brian Labat, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D14555 Issued in MN

Practice address

1106 W River Rd
Detroit Lakes, MN 56501-2723

Phone

(218) 846-1900

NPI assigned

Jun 3, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• John R Jordan DDS PA

  • General Practice Dentistry
  • Detroit Lakes, MN
  • NPI 1609008051
  NPD (past)

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1275109894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 W RIVER RD",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565012723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 W RIVER RD",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565012723",
            "telephone_number": "218-846-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABAT",
        "first_name": "BRIAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D14555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramona Kuehl
• Shivan Kulasingham, MD
• Caitlin Ann Kumpula, CNP
• Mary Deborah Kuzel, PHARM.D.
• Janelle L Kyllo Bouchie, PA-C
• Michael Keith Lachapelle, LADC
• Jennifer Ladd
• Carrie Amanda Lahr, APRN/CNP
• Lake Region Therapy Services Inc
• Lakeland Chiropractic Clinic

• General Practice Dentistry in Detroit Lakes, MN
• Providers in Detroit Lakes, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.