Individual provider Active NPI

Mark Lascotte Jr., DC

  • Chiropractor
  • Eagan, MN
National Provider Identifier
1386037745
Registry record updated Nov 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6058 Issued in MN
Practice address
4480 Erin Dr
Eagan, MN 55122-2357
Phone
(651) 209-9906
Fax
(651) 209-9909
NPI assigned
Mar 10, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6058 MN Primary

Addresses

Primary practice location

4480 Erin Dr
Eagan, MN 55122-2357

Mailing address

4480 Erin Dr
Eagan, MN 55122-2357
Phone (651) 209-9906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447632000000",
    "number": "1386037745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480 ERIN DR",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222357",
            "telephone_number": "651-209-9906",
            "fax_number": "651-209-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4480 ERIN DR",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222357",
            "telephone_number": "651-209-9906",
            "fax_number": "651-209-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASCOTTE",
        "first_name": "MARK",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; 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.