Individual provider Active NPI

John J. Mahoney II, D.C.

  • Chiropractor
  • Newark, DE
National Provider Identifier
1811907736
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DEF10000533 Issued in DE
Practice address
1536 Capitol TRL
Newark, DE 19711-5716
Phone
(302) 454-1200
Fax
(302) 454-1238
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 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 DEF10000533 DE Primary

Addresses

Primary practice location

1536 Capitol TRL
Newark, DE 19711-5716

Mailing address

1536 Capitol TRL
Newark, DE 19711-5716
Phone (302) 454-1200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040124000159 DE Practitioner - Chiropractic 9739081241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

103 Patriot Dr
Suite 105
Middletown, DE 19709-8506
Phone (302) 828-0048

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEF10000533DEMDChiropractor
009538NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Westown Wellness LLC Chiropractor CurrentSince Apr 15, 2021 Accepting new patients
First State Nutrition LLC Past Accepting new patients
Lantana Chiropractic Inc Chiropractor Past Accepting new patients

Locations

103 Patriot Dr
Ste 105
Middletown, DE 19709
Phone (302) 828-0048

1536 Kirkwood Hwy
Newark, DE 19711
Phone (302) 454-1200

Organizations & group practices 3

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1811907736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 CAPITOL TRL",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197115716",
            "telephone_number": "302-454-1200",
            "fax_number": "302-454-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 CAPITOL TRL",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197115716",
            "telephone_number": "302-454-1200",
            "fax_number": "302-454-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "JOHN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "DEF10000533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.