Individual provider Active NPI

Susan Kay Mort, D.C.

  • Chiropractor
  • Pierceton, IN
National Provider Identifier
1952425837
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
969 Issued in IN
Practice address
526 S First St
Pierceton, IN 46562-9200
Phone
(574) 594-2711
NPI assigned
Mar 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 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 969 IN Primary

Addresses

Primary practice location

526 S First St
Pierceton, IN 46562-9200

Mailing address

526 S First St
Pierceton, IN 46562-9200
Phone (574) 594-2711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
969INMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mort'S Chiropractic Clinic Chiropractor PastSince Jan 1, 1990 Accepting new patients

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": "1174176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224201600000",
    "number": "1952425837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 S FIRST ST",
            "city": "PIERCETON",
            "state": "IN",
            "postal_code": "465629200",
            "telephone_number": "574-594-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 S FIRST ST",
            "city": "PIERCETON",
            "state": "IN",
            "postal_code": "465629200",
            "telephone_number": "574-594-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORT",
        "first_name": "SUSAN",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-18",
        "last_updated": "2008-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pierceton, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; 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.