Individual provider Active NPI

Mitchell Borgman, DC

  • Chiropractor
  • Noblesville, IN
National Provider Identifier
1407390958
Registry record updated Dec 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002945A Issued in IN
Practice address
14300 Mundy Dr
Suite 100
Noblesville, IN 46060-5100
Phone
(317) 565-7347
NPI assigned
Dec 16, 2016
Last updated
Dec 16, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002945A IN Primary

Addresses

Primary practice location

14300 Mundy Dr
Suite 100
Noblesville, IN 46060-5100

Mailing address

14300 Mundy Dr
Suite 100
Noblesville, IN 46060-5100
Phone (317) 565-7347

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170106001483 IN Practitioner - Chiropractic 7618258542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14300 Mundy Dr
Suite 100
Noblesville, IN 46060-5106
Phone (317) 565-7347

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08002945AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Anchor Health Chiropractic LLC Chiropractor CurrentSince Dec 22, 2016 Accepting new patients

Locations

14300 Mundy Dr
Ste 100
Noblesville, IN 46060
Phone (317) 565-7347

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481846400000",
    "number": "1407390958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 MUNDY DR",
            "address_2": "SUITE 100",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460605100",
            "telephone_number": "317-565-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 MUNDY DR",
            "address_2": "SUITE 100",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460605100",
            "telephone_number": "317-565-7347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGMAN",
        "first_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-16",
        "last_updated": "2016-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002945A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; 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.