Individual provider Active NPI

James Allen Laskow, DC

  • Chiropractor
  • Forest Lake, MN
National Provider Identifier
1972674620
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3552 Issued in MN
Practice address
822 Lake St S
Forest Lake, MN 55025-2614
Phone
(651) 464-3030
Fax
(651) 982-6034
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3552 MN Primary

Addresses

Primary practice location

822 Lake St S
Forest Lake, MN 55025-2614

Mailing address

822 Lake St S
Forest Lake, MN 55025-2614
Phone (651) 464-3030

Other identifiers 1

IdentifierTypeStateIssuer
144T1NOOtherMNBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050513000701 MN Practitioner - Chiropractic 4789625351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

822 Lake St S
Forest Lake, MN 55025-2614
Phone (651) 464-3030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3552MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Laskow Chiropractic Clinic PA Chiropractor CurrentSince Feb 1, 2013 Accepting new patients

Locations

822 Lake St S
Forest Lake, MN 55025
Phone (651) 464-3030

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1972674620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 LAKE ST S",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550252614",
            "telephone_number": "651-464-3030",
            "fax_number": "651-982-6034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 LAKE ST S",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550252614",
            "telephone_number": "651-464-3030",
            "fax_number": "651-982-6034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASKOW",
        "first_name": "JAMES",
        "middle_name": "ALLEN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "144T1NO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.