Individual provider Active NPI

Jared R Mueller, D.C.

  • Chiropractor
  • Naples, FL
National Provider Identifier
1215367990
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11046 Issued in FL
Practice address
4930 Golden Gate Pkwy Ste B
Naples, FL 34116-6992
Phone
(239) 455-3822
Fax
(239) 455-0891
NPI assigned
Nov 18, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH11046 FL Primary

Addresses

Primary practice location

4930 Golden Gate Pkwy Ste B
Naples, FL 34116-6992

Mailing address

4930 Golden Gate Pkwy Ste B
Naples, FL 34116-6992
Phone (239) 455-3822

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170502002449 FL Practitioner - Chiropractic 3476830399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

373 Cypress Pkwy
Kissimmee, FL 34759-3326
Phone (407) 944-1777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH11046FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mueller Chiropractic LLC Chiropractor CurrentSince Mar 1, 2017 Accepting new patients

Locations

373 Cypress Pkwy
Kissimmee, FL 34759
Phone (407) 944-1777

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": "1384732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384732800000",
    "number": "1215367990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 GOLDEN GATE PKWY STE B",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341166992",
            "telephone_number": "239-455-3822",
            "fax_number": "239-455-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 GOLDEN GATE PKWY STE B",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341166992",
            "telephone_number": "239-455-3822",
            "fax_number": "239-455-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "JARED",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.