Organization Active NPI

Laske Family Chiropractic, P.C.

  • Chiropractor
  • Taylor, MI
National Provider Identifier
1679710800
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008988 Issued in MI
Legal business name
LASKE FAMILY CHIROPRACTIC, P.C.
Practice address
20720 Eureka Rd
Taylor, MI 48180-5313
Phone
(734) 283-2180
Fax
(734) 283-2188
NPI assigned
Jan 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Authorized official

Name
Dr. Jason P Laske, D.C.
Title
Owner/President
Phone
(734) 283-2180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301008988 MI Primary

Addresses

Primary practice location

20720 Eureka Rd
Taylor, MI 48180-5313

Mailing address

20720 Eureka Rd
Taylor, MI 48180-5313
Phone (734) 283-2180

Other identifiers 8

IdentifierTypeStateIssuer
2301008988OtherMILICENSE#
950H242200OtherMIBLUE CROSS IND
950H242880OtherBLUE CROSS GROUP
1437192093OtherMIIND. NPI#
144948941MedicaidMI
900072659OtherMIPRIORITY HEALTH
P00690884OtherMIUNITED HEALTHCARE
V10353OtherMIHAP

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1679710800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20720 EUREKA RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481805313",
            "telephone_number": "734-283-2180",
            "fax_number": "734-283-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20720 EUREKA RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481805313",
            "telephone_number": "734-283-2180",
            "fax_number": "734-283-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASKE FAMILY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-09",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "LASKE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "734-283-2180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE#",
            "identifier": "2301008988",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS IND",
            "identifier": "950H242200",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP",
            "identifier": "950H242880",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND. NPI#",
            "identifier": "1437192093",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144948941",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH",
            "identifier": "900072659",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "P00690884",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "V10353",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.