Individual provider Active NPI

Nathan Richard Laubach, DC

  • Chiropractor
  • Tannersville, PA
National Provider Identifier
1881650661
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009427 Issued in PA
Practice address
2369 Route 715
Tannersville, PA 18372
Phone
(570) 629-9507
Fax
(272) 200-2977
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009427 PA Primary

Addresses

Primary practice location

2369 Route 715
Tannersville, PA 18372

Mailing address

2369 Route 715
Tannersville, PA 18372
Phone (570) 629-9507

Other identifiers 3

IdentifierTypeStateIssuer
7640701000OtherPAIND BLUE CROSS
LA1802442OtherPABLUE CROSS BLUE SHIELD
108885OtherPAOPER. ENGINEERS LOCAL 825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060329000017 PA Practitioner - Chiropractic 9032135827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laubach Family Chiropractic LLCGroup PAC ID 8729096177, 3 clinicians

Practice addresses (Care Compare)

2369 Route 715
Tannersville, PA 18372-9156
Phone (570) 629-9507

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC009427PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Laubach Family Chiropractic LLC Chiropractor CurrentSince Jan 31, 2006 Accepting new patients
Kurtz Chiropractic Inc Chiropractor PastSince Oct 1, 1996 Accepting new patients

Locations

2551 Rte 611
Back 2 HLTH Fam WLNS
Scotrun, PA 18355
Phone (570) 629-9507

2369 Route 715
Tannersville, PA 18372
Phone (570) 629-9507

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1881650661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2369 ROUTE 715",
            "city": "TANNERSVILLE",
            "state": "PA",
            "postal_code": "18372",
            "telephone_number": "570-629-9507",
            "fax_number": "272-200-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2369 ROUTE 715",
            "city": "TANNERSVILLE",
            "state": "PA",
            "postal_code": "18372",
            "telephone_number": "570-629-9507",
            "fax_number": "272-200-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUBACH",
        "first_name": "NATHAN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND BLUE CROSS",
            "identifier": "7640701000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "LA1802442",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPER. ENGINEERS LOCAL 825",
            "identifier": "108885",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tannersville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.