Individual provider Active NPI

Jason P Laske, DC

  • Chiropractor
  • Flat Rock, MI
National Provider Identifier
1437192093
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008988 Issued in MI
Practice address
24640 Telegraph Rd
Flat Rock, MI 48134-9226
Phone
(734) 782-0200
Fax
(734) 789-7876
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301008988 MI Primary

Addresses

Primary practice location

24640 Telegraph Rd
Flat Rock, MI 48134-9226

Mailing address

24640 Telegraph Rd
Flat Rock, MI 48134-9226
Phone (734) 782-0200

Other practice location 1

20720 Eureka Rd.
Taylor, MI 48180
Phone (734) 283-2180

Other identifiers 10

IdentifierTypeStateIssuer
MI1337001OtherMIINDIVIDUAL MEDICARE PTAN
900072659OtherMIPRIORITY HEALTH
P00690884OtherMIUNITED HEALTH CARE
V10353OtherMIHAP
1437192093OtherMIINDIVIDUAL NPI
1679710800OtherMIGROUP NPI
1013467323OtherMIGROUP NPI
4948941OtherMIMEDICAID
950H242880OtherMIBLUE CROSS
MI1337OtherMIGROUP MEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061106000430 MI Practitioner - Chiropractic 5799782603 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fountain Chiro LLC Chiropractor CurrentSince Sep 11, 2023 Accepting new patients
Milwood Spine Center LLC Chiropractor Past Accepting new patients
Siegel Chiropractic Clinic Chiropractor Past Accepting new patients
New Boston Chiropractic Life Center, Corporation Chiropractor Past Accepting new patients
Hardin Chiropractic Azz Inc PC Chiropractor PastSince Dec 16, 2008 Accepting new patients
Quest Health System XII PLLC Chiropractor Past Accepting new patients

Locations

24640 Telegraph Rd
Flat Rock, MI 48134
Phone (734) 652-7259

Organizations & group practices 6

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1437192093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24640 TELEGRAPH RD",
            "city": "FLAT ROCK",
            "state": "MI",
            "postal_code": "481349226",
            "telephone_number": "734-782-0200",
            "fax_number": "734-789-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24640 TELEGRAPH RD",
            "city": "FLAT ROCK",
            "state": "MI",
            "postal_code": "481349226",
            "telephone_number": "734-782-0200",
            "fax_number": "734-789-7876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20720 Eureka Rd.",
            "address_purpose": "LOCATION",
            "city": "Taylor",
            "state": "MI",
            "postal_code": "48180",
            "country_code": "US",
            "telephone_number": "734-283-2180",
            "fax_number": "734-283-2188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LASKE",
        "first_name": "JASON",
        "middle_name": "P",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL MEDICARE PTAN",
            "identifier": "MI1337001",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH",
            "identifier": "900072659",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "P00690884",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "V10353",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1437192093",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1679710800",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1013467323",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "4948941",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "950H242880",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PTAN",
            "identifier": "MI1337",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flat Rock, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.