Individual provider Active NPI

Laura Colleen Dockendorf, DC

  • Chiropractor
  • Elk River, MN
National Provider Identifier
1952062085
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6940 Issued in MN
Practice address
18322 Joplin St NW
Elk River, MN 55330-1773
Phone
(763) 441-0999
NPI assigned
Dec 30, 2021
Last updated
Mar 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6940 MN Primary

Addresses

Primary practice location

18322 Joplin St NW
Elk River, MN 55330-1773

Mailing address

18322 Joplin St NW
Elk River, MN 55330-1773
Phone (763) 441-0999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220202001279 MN Practitioner - Chiropractic 8022401785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rebrovich and Whalen Chiropractic LTDGroup PAC ID 3072563170, 4 clinicians

Practice addresses (Care Compare)

18322 Joplin St NW
Elk River, MN 55330-1773
Phone (763) 441-0999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6940MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rebrovich and Whalen Chiropractic, LTD. Chiropractor CurrentSince Jan 1, 2022 Accepting new patients

Locations

18322 Joplin St NW
Elk River, MN 55330
Phone (763) 441-0999

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": "1640822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1952062085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18322 JOPLIN ST NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301773",
            "telephone_number": "763-441-0999",
            "fax_number": "763-441-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18322 JOPLIN ST NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301773",
            "telephone_number": "763-441-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCKENDORF",
        "first_name": "LAURA",
        "middle_name": "COLLEEN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-30",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk River, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.