Jacob James Mootz, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4895 Issued in MN

Practice address

951 Payne Ave
Saint Paul, MN 55101-4003

Phone

(651) 774-7016

Fax

(651) 774-7016

NPI assigned

Jan 1, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Duininck Chiropractic, PAGroup PAC ID 6305887720, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Duininck Chiropractic, PA

  • Chiropractor
  • Willmar, MN
  • NPI 1568503670
  Medicare reassignment Care Compare group NPD
• Belde Chiropractic Clinic, PA

  • Chiropractor
  • Monticello, MN
  • NPI 1437295532
  NPD (past)
• IHS East Saint Paul

  • Clinic/Center
  • Saint Paul, MN
  • NPI 1326317694
  NPD (past)
• IHS Midwest PC

  • Chiropractor
  • Monticello, MN
  • NPI 1588600043
  NPD (past)

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497811517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5007 28TH AVE S",
            "address_2": "APT. #2",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554171351",
            "telephone_number": "651-774-7016",
            "fax_number": "651-774-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 PAYNE AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551014003",
            "telephone_number": "651-774-7016",
            "fax_number": "651-774-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOTZ",
        "first_name": "JACOB",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Moore
• John Lewis Moore Jr.
• Lanora Moore, RN, LSN
• Steven Robert Moore, M.D.
• Zonita Moore
• Kristin L Moquist, CPNP
• Alfonso Morales-Utrilla Jr., M.D.
• Lee Morales, LICSW
• Eileen S Moran Griggs, NP
• George Morara

• Chiropractor in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Chiropractor in Minnesota

• 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.
• 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.