Brent M Mooney, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

29028 Issued in CA

Practice address

1980 Broadway
Placerville, CA 95667-9001

Phone

(530) 622-3536

Fax

(530) 622-3538

NPI assigned

Jul 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Healthcare of PlacervilleGroup PAC ID 9436202595, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Premier Healthcare of Placerville

  • Pain Medicine Physician
  • Placerville, CA
  • NPI 1932345410
  Medicare reassignment Care Compare group NPD
• Premier Health of Placerville Inc

  • Orthopedic Chiropractor
  • Placerville, CA
  • NPI 1487910956
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1306862636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 BROADWAY",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956679001",
            "telephone_number": "530-622-3536",
            "fax_number": "530-622-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 BROADWAY",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956679001",
            "telephone_number": "530-622-3536",
            "fax_number": "530-622-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "BRENT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "29028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GDC000640",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Montalbano
• Eva Montayre
• Jessica Maggie Montgomery
• Teresa Nicole Montgomery, DPT
• Traci Moody
• John M Mooney, D.C.
• Christy Moore
• Kristine M. Moore, MSW
• Lawrence Moore, M.D.
• Chalise Michelle Morgan, D.D.S.

• Chiropractor in Placerville, CA
• Providers in Placerville, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.