Active NPI
Lubovich Chiropractic, P.a.
- Chiropractor
- Lakeville, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2726
- Legal business name
- LUBOVICH CHIROPRACTIC, P.A.
- Practice address
- 10880 175TH CT W Ste 120
Lakeville, MN 55044-7493 - Phone
- (952) 898-4900
- Fax
- (952) 898-7626
- NPI assigned
- Apr 4, 2007
- Last updated
- May 30, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Clarence Lubovich, D.C.
- Title
- Owner
- Phone
- (952) 898-4900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2726 | MN | Primary |
Addresses
Primary practice location
10880 175TH CT W Ste 120
Lakeville, MN 55044-7493
Mailing address
10880 175TH CT W Ste 120
Lakeville, MN 55044-7493
Phone (952) 898-4900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0H011-LU | Other | MN | BLUE CROSS BLUE SHEILD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
730 Main St
Ste 4
Elko New Market, MN 55054
Phone (952) 461-5110
10880 175th Ct W
Ste 120
Lakeville, MN 55044
Phone (952) 892-0898
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Lakeville, MN
- NPI 1528124005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369872000000",
"number": "1831211473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10880 175TH CT W STE 120",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550447493",
"telephone_number": "952-898-4900",
"fax_number": "952-898-7626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10880 175TH CT W STE 120",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550447493",
"telephone_number": "952-898-4900",
"fax_number": "952-898-7626"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUBOVICH CHIROPRACTIC, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-04",
"last_updated": "2013-05-30",
"status": "A",
"authorized_official_last_name": "LUBOVICH",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "CLARENCE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "952-898-4900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "2726",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "0H011-LU",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakeville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; 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.