Organization Active NPI

Mudar Chiropractic, Inc.

  • Chiropractor
  • Lower Burrell, PA
National Provider Identifier
1407992712
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC003156L Issued in PA
Legal business name
MUDAR CHIROPRACTIC, INC.
Practice address
3275 Leechburg Rd
Lower Burrell, PA 15068-2858
Phone
(724) 337-4454
NPI assigned
Jan 30, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Peter John Mudar II
Title
Owner
Phone
(724) 337-4454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC003156L PA Primary

Addresses

Primary practice location

3275 Leechburg Rd
Lower Burrell, PA 15068-2858

Mailing address

3275 Leechburg Rd
Lower Burrell, PA 15068-2858
Phone (724) 337-4454

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040521000387 PA Part B Supplier - Clinic/Group Practice 0749271385 Receives reassigned benefits from 1 practitioner
Practice locations: Lower Burrell, PA

National Provider Directory

National Provider Directory

Locations

3275 Leechburg Rd
Ste 4
New Kensington, PA 15068
Phone (724) 337-4454

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407992712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3275 LEECHBURG RD",
            "city": "LOWER BURRELL",
            "state": "PA",
            "postal_code": "150682858",
            "telephone_number": "724-337-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3275 LEECHBURG RD",
            "city": "LOWER BURRELL",
            "state": "PA",
            "postal_code": "150682858",
            "telephone_number": "724-337-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUDAR CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUDAR II",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-337-4454",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC003156L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lower Burrell, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.