Individual provider Active NPI

Aaron M Mobley, D.C.

  • Chiropractor
  • Bloomington, IN
National Provider Identifier
1790886984
Registry record updated Oct 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002294A Issued in IN
Practice address
3901 E 3Rd St
Bloomington, IN 47401-5538
Phone
(812) 334-0082
Fax
(812) 334-1019
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002294A IN Primary

Addresses

Primary practice location

3901 E 3Rd St
Bloomington, IN 47401-5538

Mailing address

3901 E 3Rd St
Bloomington, IN 47401-5538
Phone (812) 334-0082

Other identifiers 1

IdentifierTypeStateIssuer
200843530AMedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070319000077 IN Practitioner - Chiropractic 5092818765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2901 N Walnut St
Bloomington, IN 47404-2065
Phone (812) 336-7246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08002294AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Chiropractic and Rehab LLC Chiropractor CurrentSince Mar 1, 2010 Accepting new patients
Indigo 6 LLC PastSince Mar 1, 2010 Accepting new patients

Locations

2901 N Walnut St
Bloomington, IN 47404
Phone (812) 336-7246

Organizations & group practices 2

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191801600000",
    "number": "1790886984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 E 3RD ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474015538",
            "telephone_number": "812-334-0082",
            "fax_number": "812-334-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 E 3RD ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474015538",
            "telephone_number": "812-334-0082",
            "fax_number": "812-334-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOBLEY",
        "first_name": "AARON",
        "middle_name": "M",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002294A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200843530A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

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