Individual provider Active NPI

Brian William Mehl, D.C.

  • Chiropractor
  • Toms River, NJ
National Provider Identifier
1346442894
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00576800 Issued in NJ
Practice address
716 Main St
Toms River, NJ 08753-6518
Phone
(732) 244-9977
Fax
(732) 244-9985
NPI assigned
Jun 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00576800 NJ Primary

Addresses

Primary practice location

716 Main St
Toms River, NJ 08753-6518

Mailing address

26 Philadelphia Ave
Lavallette, NJ 08735-2344
Phone (732) 244-9977

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041029000674 NJ Practitioner - Chiropractic 1850353004 Practice locations: Toms River, NJ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

716 Main St
Lavallette, NJ 08753-6518

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1346442894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 PHILADELPHIA AVE",
            "city": "LAVALLETTE",
            "state": "NJ",
            "postal_code": "087352344",
            "telephone_number": "732-244-9977",
            "fax_number": "732-244-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 MAIN ST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087536518",
            "telephone_number": "732-244-9977",
            "fax_number": "732-244-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHL",
        "first_name": "BRIAN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00576800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.