Organization Active NPI

Laskow Chiropractic Clinic PA

  • Chiropractor
  • Forest Lake, MN
National Provider Identifier
1982949111
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3552 Issued in MN
Legal business name
LASKOW CHIROPRACTIC CLINIC PA
Practice address
822 Lake St S
Forest Lake, MN 55025-2614
Phone
(651) 464-3030
Fax
(651) 982-6034
NPI assigned
Nov 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Authorized official

Name
Dr. James Laskow, D.C.NPI 1972674620
Title
Doctor/Owner
Phone
(651) 464-3030

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130204000508 MN Part B Supplier - Clinic/Group Practice 8729232475 Receives reassigned benefits from 1 practitioner
Practice locations: Forest Lake, MN

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354492800000",
    "number": "1982949111",
    "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": {
        "organization_name": "LASKOW CHIROPRACTIC CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-28",
        "last_updated": "2012-12-03",
        "status": "A",
        "authorized_official_last_name": "LASKOW",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "651-464-3030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3552",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 3, 2012; 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.

Verify at the official NPI Registry.