Individual provider Active NPI

Kristopher Shawn Laubach, DC

  • Chiropractor
  • Muncy, PA
National Provider Identifier
1881661932
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009467 Issued in PA
Practice address
5632 Clarkstown Rd
Muncy, PA 17756-8249
Phone
(570) 546-2727
NPI assigned
Mar 7, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009467 PA Primary

Addresses

Primary practice location

5632 Clarkstown Rd
Muncy, PA 17756-8249

Mailing address

111 New St
Muncy, PA 17756-1711
Phone (570) 546-9131

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060824000469 PA Practitioner - Chiropractic 9335142785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ernest M Laubach DC-PCGroup PAC ID 5890775670, 2 clinicians

Practice addresses (Care Compare)

5632 Clarkstown Rd
Muncy, PA 17756-8249
Phone (570) 546-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ernest M Laubach DC-PC Chiropractor CurrentSince Feb 22, 2006 Accepting new patients

Locations

5632 Clarkstown Rd
Muncy, PA 17756
Phone (570) 546-2727

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1881661932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 NEW ST",
            "city": "MUNCY",
            "state": "PA",
            "postal_code": "177561711",
            "telephone_number": "570-546-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5632 CLARKSTOWN RD",
            "city": "MUNCY",
            "state": "PA",
            "postal_code": "177568249",
            "telephone_number": "570-546-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUBACH",
        "first_name": "KRISTOPHER",
        "middle_name": "SHAWN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncy, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.