Individual provider Active NPI

Bruce Edward Mounsey, D.C.

  • Chiropractor
  • Chino Valley, AZ
National Provider Identifier
1386911543
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8384 Issued in AZ
Practice address
1578 N State Route 89
Suite 2
Chino Valley, AZ 86323-7624
Phone
(928) 636-6300
Fax
(928) 636-1185
NPI assigned
Nov 16, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8384 AZ Primary

Addresses

Primary practice location

1578 N State Route 89
Suite 2
Chino Valley, AZ 86323-7624

Mailing address

2235 S Hwy 89
Ste B7
Chino Valley, AZ 86323-9208
Phone (928) 636-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8384AZMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1386911543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 S HWY 89",
            "address_2": "STE B7",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "863239208",
            "telephone_number": "928-636-6300",
            "fax_number": "928-636-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1578 N STATE ROUTE 89",
            "address_2": "SUITE 2",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "863237624",
            "telephone_number": "928-636-6300",
            "fax_number": "928-636-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUNSEY",
        "first_name": "BRUCE",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-16",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.