Active NPI
Mohr Chiropractic Clinic LLC
- Chiropractor
- Greencastle, IN
National Provider Identifier
1104474014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- MOHR CHIROPRACTIC CLINIC LLC
- Practice address
- 4031 S Crestview Dr
Greencastle, IN 46135-8704 - Phone
- (765) 653-4447
- NPI assigned
- Sep 4, 2019
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Justin D Mohr, DC
- Title
- Owner
- Phone
- (317) 292-7944
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Avon, IN
- NPI 1215113006
-
- Chiropractor
- Greencastle, IN
- NPI 1164835559
-
- Chiropractor
- Greencastle, IN
- NPI 1770551707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191223001129 | IN | Part B Supplier - Clinic/Group Practice | 2769816917 |
Receives reassigned benefits from 2 practitioners Practice locations: Greencastle, IN |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4031 S Crestview Dr
Greencastle, IN 46135-8704
Mailing address
4031 S Crestview Dr
Greencastle, IN 46135-8704
Phone (765) 653-4447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 4, 2019.
{
"created_epoch": "1567555200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1567555200000",
"number": "1104474014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4031 S CRESTVIEW DR",
"city": "GREENCASTLE",
"state": "IN",
"postal_code": "461358704",
"telephone_number": "765-653-4447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4031 S CRESTVIEW DR",
"city": "GREENCASTLE",
"state": "IN",
"postal_code": "461358704",
"telephone_number": "765-653-4447"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOHR CHIROPRACTIC CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-04",
"last_updated": "2019-09-04",
"status": "A",
"authorized_official_last_name": "MOHR",
"authorized_official_first_name": "JUSTIN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "317-292-7944",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greencastle, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.