Organization Active NPI

Mundy Chiropractic, LLC

Doing business as Mundy Chiropractic

  • Chiropractor
  • Jasper, IN
National Provider Identifier
1174167969
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MUNDY CHIROPRACTIC, LLC
Doing business as
Mundy Chiropractic
Practice address
4195 Mannheim Rd
Jasper, IN 47546-9625
Phone
(812) 634-6000
Fax
(812) 634-7001
NPI assigned
Nov 5, 2019
Last updated
Nov 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Authorized official

Name
Lydia M Mundy, DCNPI 1902455165
Title
Owner
Phone
(812) 827-3940

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

4195 Mannheim Rd
Jasper, IN 47546-9625

Mailing address

4195 Mannheim Rd
Jasper, IN 47546-9625
Phone (812) 634-6000

Other names 1

  • Mundy Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

4195 Mannheim Rd
Jasper, IN 47546
Phone (812) 634-6000

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572912000000",
    "number": "1174167969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4195 MANNHEIM RD",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475469625",
            "telephone_number": "812-634-6000",
            "fax_number": "812-634-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4195 MANNHEIM RD",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475469625",
            "telephone_number": "812-634-6000",
            "fax_number": "812-634-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNDY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A",
        "authorized_official_last_name": "MUNDY",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-827-3940",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mundy Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jasper, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.