Individual provider Active NPI

Leah Angela Vibar, D.C.

  • Chiropractor
  • St. Paul, MN
National Provider Identifier
1730579764
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6034 Issued in MN
Practice address
616 Rice Street Ste. B
Moua-Lor Chiropractic & Acupuncture, P.a.
St. Paul, MN 55103
Phone
(651) 224-9400
Fax
(651) 224-0690
NPI assigned
Jan 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 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 6034 MN Primary

Addresses

Primary practice location

616 Rice Street Ste. B
Moua-Lor Chiropractic & Acupuncture, P.a.
St. Paul, MN 55103

Mailing address

616 Rice Street Ste. B
Moua-Lor Chiropractic & Acupuncture, P.a.
St. Paul, MN 55103
Phone (651) 224-9400

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

LicenseStateTypeSpecialty
6034MNMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1730579764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 RICE STREET STE. B",
            "address_2": "MOUA-LOR CHIROPRACTIC & ACUPUNCTURE, P.A.",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "55103",
            "telephone_number": "651-224-9400",
            "fax_number": "651-224-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 RICE STREET STE. B",
            "address_2": "MOUA-LOR CHIROPRACTIC & ACUPUNCTURE, P.A.",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "55103",
            "telephone_number": "651-224-9400",
            "fax_number": "651-224-0690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIBAR",
        "first_name": "LEAH",
        "middle_name": "ANGELA",
        "name_prefix": "Ms.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-29",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.