Tara Mohl, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1869 Issued in NE

Practice address

606 N 66TH St
Lincoln, NE 68505-2408

Phone

(402) 466-6454

Fax

(402) 466-7829

NPI assigned

May 20, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tara Sueper Former name

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2014

Medicare assignment

May accept Medicare assignment

Group practices

Green Chiropractic PCGroup PAC ID 0042375842, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Green Chiropractic PC

  • Chiropractor
  • Lincoln, NE
  • NPI 1437395985
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542758400000",
    "number": "1376922583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 N 66TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685052408",
            "telephone_number": "402-466-6454",
            "fax_number": "402-466-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 N 66TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685052408",
            "telephone_number": "402-466-6454",
            "fax_number": "402-466-7829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHL",
        "first_name": "TARA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-20",
        "last_updated": "2018-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "SUEPER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Avin Farhan Mohammed
• Nadia Abdulameer Mohammed, PAS
• Shadan A Mohammed
• Zeinab Mohammed
• Pinky Mohapatra
• Dawnita Mohler
• Shirley O Mohr Burt, APRN
• Anne Mohr
• James Earl Mohr
• Jamie Mohr

• Chiropractor in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; 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.