Individual provider Active NPI

Mitchell John Mahle, D.C.

  • Chiropractor
  • New Castle, PA
National Provider Identifier
1073703450
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007953L Issued in PA
Practice address
101 Decker Dr
New Castle, PA 16105-1501
Phone
(724) 656-9050
Fax
(724) 656-5899
NPI assigned
Jul 31, 2007
Last updated
Nov 25, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC007953L PA Primary

Addresses

Primary practice location

101 Decker Dr
New Castle, PA 16105-1501

Mailing address

101 Decker Dr
New Castle, PA 16105-1501
Phone (724) 656-9050

Other identifiers 2

IdentifierTypeStateIssuer
DA9159OtherPAPALMETTO GBA
MA001685728OtherPAHIGHMARK BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040310000885 PA Practitioner - Chiropractic 7012805955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mahle Chiropractic, Inc.Group PAC ID 5991787574, 3 clinicians

Practice addresses (Care Compare)

101 Decker Dr
New Castle, PA 16105-1501
Phone (724) 656-9050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mahle Chiropractic, Inc. Chiropractor CurrentSince Jul 1, 2003 Accepting new patients

Locations

101 Decker Dr
New Castle, PA 16105
Phone (724) 656-9050

2807 Wilmington Rd
Ste D
New Castle, PA 16105
Phone (724) 656-9050

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": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259107200000",
    "number": "1073703450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DECKER DR",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161051501",
            "telephone_number": "724-656-9050",
            "fax_number": "724-656-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DECKER DR",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161051501",
            "telephone_number": "724-656-9050",
            "fax_number": "724-656-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHLE",
        "first_name": "MITCHELL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-31",
        "last_updated": "2009-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007953L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "DA9159",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "MA001685728",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.