Laura Colleen Kagarise, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08002698A Issued in IN

Practice address

413 W McKinley Ave
Mishawaka, IN 46545-5599

Phone

(574) 256-1008

Fax

(574) 256-9088

NPI assigned

May 21, 2013

Last updated

May 21, 2013By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1538505201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53125 NADINE ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466375118",
            "telephone_number": "574-261-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 W MCKINLEY AVE",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465455599",
            "telephone_number": "574-256-1008",
            "fax_number": "574-256-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAGARISE",
        "first_name": "LAURA",
        "middle_name": "COLLEEN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-21",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002698A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.