Individual provider Active NPI

Mitchell Roling, D.C.

  • Chiropractor
  • Moberly, MO
National Provider Identifier
1457893042
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2016030787 Issued in MO
Practice address
630 N Morley St Ste 103a
Moberly, MO 65270-2556
Phone
(660) 833-4662
Fax
(660) 833-4916
NPI assigned
Nov 14, 2016
Last updated
Nov 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 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 2016030787 MO Primary

Addresses

Primary practice location

630 N Morley St Ste 103a
Moberly, MO 65270-2556

Mailing address

2041 County Road 2080
Armstrong, MO 65230-2036
Phone (660) 676-9487

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
2016030787MOMDChiropractor

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": "1479081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1457893042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 COUNTY ROAD 2080",
            "city": "ARMSTRONG",
            "state": "MO",
            "postal_code": "652302036",
            "telephone_number": "660-676-9487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N MORLEY ST STE 103A",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652702556",
            "telephone_number": "660-833-4662",
            "fax_number": "660-833-4916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLING",
        "first_name": "MITCHELL",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2016030787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moberly, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; 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.