Individual provider Active NPI

Ron Mosel, DC

  • Chiropractor
  • Marrero, LA
National Provider Identifier
1578635256
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
798 Issued in LA
Practice address
1998 Barataria Blvd
Marrero, LA 70072-4246
Phone
(504) 340-1234
Fax
(504) 340-7926
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 798 LA Primary

Addresses

Primary practice location

1998 Barataria Blvd
Marrero, LA 70072-4246

Mailing address

1998 Barataria Blvd
Marrero, LA 70072-4246
Phone (504) 340-1234

Other identifiers 2

IdentifierTypeStateIssuer
1937576MedicaidLA
4413765OtherLAAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050210000917 LA Practitioner - Chiropractic 0547212201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1998 Barataria Blvd
Marrero, LA 70072-4290
Phone (504) 340-1234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
798LAMDChiropractor

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215043200000",
    "number": "1578635256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1998 BARATARIA BLVD",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700724246",
            "telephone_number": "504-340-1234",
            "fax_number": "504-340-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1998 BARATARIA BLVD",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700724246",
            "telephone_number": "504-340-1234",
            "fax_number": "504-340-7926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSEL",
        "first_name": "RON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1937576",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4413765",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.