Individual provider Active NPI

Leilani Maria Ventura-Mustin, D.C.

  • Chiropractor
  • Pittsburgh, PA
National Provider Identifier
1083745830
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-004266-L Issued in PA
Practice address
69 N Wren Dr
Pittsburgh, PA 15243-1247
Phone
(412) 429-8884
Fax
(412) 429-9228
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-004266-L PA Primary

Addresses

Primary practice location

69 N Wren Dr
Pittsburgh, PA 15243-1247

Mailing address

69 N Wren Dr
Pittsburgh, PA 15243-1247
Phone (412) 429-8884

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110616000836 PA Practitioner - Chiropractic 2567640790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mustin Chiropractic Clinic,P.C.Group PAC ID 1759329261, 2 clinicians

Practice addresses (Care Compare)

69 N Wren Dr
Pittsburgh, PA 15243-1247
Phone (412) 429-8884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-004266-LPAMDChiropractor

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": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1083745830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 N WREN DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431247",
            "telephone_number": "412-429-8884",
            "fax_number": "412-429-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 N WREN DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431247",
            "telephone_number": "412-429-8884",
            "fax_number": "412-429-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENTURA-MUSTIN",
        "first_name": "LEILANI",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-004266-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.