Active NPI
Jason Lee Mulder, D.C.
- Chiropractor
- Surprise, AZ
National Provider Identifier
1417072109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7810
- Practice address
- 18761 N Reems Rd
Suite 400
Surprise, AZ 85374-8646 - Phone
- (623) 583-9180
- Fax
- (623) 583-2871
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 7810 | AZ | Primary |
Addresses
Primary practice location
18761 N Reems Rd
Suite 400
Surprise, AZ 85374-8646
Mailing address
18517 W Port Au Prince LN
Surprise, AZ 85388-7577
Phone (623) 215-8621
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| True Diabetes Neuropathy & Wound Solutions Az LLC | Past | Accepting new patients | |
| True Health Family Medicine Az | Past | Accepting new patients | |
| Adjusted 4 Life Chiropractic LLC | Chiropractor | Past | Accepting new patients |
| Natural Choice Family Wellness, LLC | Past | Accepting new patients | |
| True Health Baseline, LLC | Past | Accepting new patients |
Organizations & group practices 5
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.
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- NPI 1033374459
-
- General Practice Physician
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- NPI 1912699240
-
- General Practice Physician
- Gilbert, AZ
- NPI 1609365741
-
- General Practice Physician
- Gilbert, AZ
- NPI 1982332037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417072109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18517 W PORT AU PRINCE LN",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853887577",
"telephone_number": "623-215-8621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18761 N REEMS RD",
"address_2": "SUITE 400",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853748646",
"telephone_number": "623-583-9180",
"fax_number": "623-583-2871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULDER",
"first_name": "JASON",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "7810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.