Lydia M Mundy, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08003115A Issued in IN

Practice address

4195 Mannheim Rd
Jasper, IN 47546-9625

Phone

(812) 634-6000

Fax

(812) 634-7001

NPI assigned

Sep 10, 2019

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Mundy Chiropractic, LLC

  • Chiropractor
  • Jasper, IN
  • NPI 1174167969
  NPD Authorized official

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1902455165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4195 MANNHEIM RD",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475469625",
            "telephone_number": "812-634-6000",
            "fax_number": "812-634-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4195 MANNHEIM RD",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475469625",
            "telephone_number": "812-634-6000",
            "fax_number": "812-634-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDY",
        "first_name": "LYDIA",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003115A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Ann Moore, PTA
• Richard Moss, M.D.
• Mundy Chiropractic, LLC
• Alexander Mundy
• Jacob Lee Mundy
• Joseph H Munning, M.D.
• Kathleen Ann Munning, APN
• Layla Murawski
• Tiffany J Murrell, FNP-C
• Paige Myers

• Chiropractor in Jasper, IN
• Providers in Jasper, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.