Individual provider Active NPI

David V. Mroski, D.C.

  • Chiropractor
  • Mandeville, LA
National Provider Identifier
1780733295
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1075 Issued in LA
Practice address
3041 E Causeway Approach
Mandeville, LA 70448-3510
Phone
(985) 624-2971
Fax
(985) 624-2972
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1075 LA Primary

Addresses

Primary practice location

3041 E Causeway Approach
Mandeville, LA 70448-3510

Mailing address

1551 Highway 59
Mandeville, LA 70448-3729
Phone (985) 624-2971

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050513000578 LA Practitioner - Chiropractic 2062452931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1551 Hwy 59
Mandeville, LA 70448-3729
Phone (985) 624-2971

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1075LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mroski Chiropractic Apc Chiropractor CurrentSince Apr 11, 1997 Accepting new patients

Locations

1551 Highway 59
Mandeville, LA 70448

3041 E Causeway Approach
Mandeville, LA 70448
Phone (985) 624-2971

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1780733295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 HIGHWAY 59",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704483729",
            "telephone_number": "985-624-2971",
            "fax_number": "985-624-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 E CAUSEWAY APPROACH",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704483510",
            "telephone_number": "985-624-2971",
            "fax_number": "985-624-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MROSKI",
        "first_name": "DAVID",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.