Active NPI
Lacey Blue Mohar, DC
- Student in an Organized Health Care Education/Training Program
- Depew, NY
National Provider Identifier
1457683989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1049 Borden Rd
Depew, NY 14043-4604 - Phone
- (315) 283-4621
- NPI assigned
- Feb 9, 2010
- Last updated
- Feb 9, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1049 Borden Rd
Depew, NY 14043-4604
Mailing address
1049 Borden Rd
Depew, NY 14043-4604
Phone (315) 283-4621
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
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": "1265673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265673600000",
"number": "1457683989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1049 BORDEN RD",
"city": "DEPEW",
"state": "NY",
"postal_code": "140434604",
"telephone_number": "315-283-4621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1049 BORDEN RD",
"city": "DEPEW",
"state": "NY",
"postal_code": "140434604",
"telephone_number": "315-283-4621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAR",
"first_name": "LACEY",
"middle_name": "BLUE",
"name_prefix": "Miss",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-09",
"last_updated": "2010-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Depew, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.