Active NPI
Terry Laubach, DC
- Chiropractor
- Shamokin Dam, PA
National Provider Identifier
1447765755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC011323
- Practice address
- 3166 N Old TRL
Shamokin Dam, PA 17876-9409 - Phone
- (570) 743-7833
- NPI assigned
- Dec 8, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | DC011323 | PA | |
| Chiropractor | 111N00000X | DC011323 | PA | Primary |
Addresses
Primary practice location
3166 N Old TRL
Shamokin Dam, PA 17876-9409
Mailing address
47 Muffly LN
Danville, PA 17821-6977
Phone (570) 317-7875
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC011323 | Other | PA | PENNSYLVANIA STATE CHIROPRACTIC LICENCE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC011323 | PA | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1447765755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 MUFFLY LN",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178216977",
"telephone_number": "570-317-7875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3166 N OLD TRL",
"city": "SHAMOKIN DAM",
"state": "PA",
"postal_code": "178769409",
"telephone_number": "570-743-7833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUBACH",
"first_name": "TERRY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-12-08",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "PA",
"license": "DC011323",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC011323",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PENNSYLVANIA STATE CHIROPRACTIC LICENCE",
"identifier": "DC011323",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shamokin Dam, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.