DR. BRENT M MOONEY (NPI# 1306862636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306862636 |
| Entity Type | Individual |
| Full Name | DR. BRENT M MOONEY |
| Credential | D.C. |
| Practice Address |
1980 Broadway Placerville CA 95667-9001 |
| Practice Telephone | 5306223536 |
| Practice Fax Number | 5306223538 |
| Mailing Telephone | 5306223536 |
| Mailing Fax Number | 5306223538 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2013-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 29028 | CA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GDC000640 | 05 |
| Street Address |
1980 BROADWAY |
| City | PLACERVILLE |
| State | CA |
| Zip Code | 95667-9001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144280587 | William Harrison White | Physical Therapist | 1980 Broadway, Placerville, CA 95667-9001 | 2006-03-27 |
| 1487910956 | Premier Health of Placerville Inc | Chiropractor | 1980 Broadway, Placerville, CA 95667-9001 | 2012-04-09 |
| 1932345410 | Premier Healthcare of Placerville | Durable Medical Equipment & Medical Supplies | 1980 Broadway, Placerville, CA 95667-9001 | 2009-01-05 |
| 1003832338 | John M Mooney | Chiropractor | 1980 Broadway, Placerville, CA 95667-9001 | 2006-07-13 |
| 1881610111 | John C Palmer | Chiropractor | 1980 Broadway, Placerville, CA 95667-9001 | 2006-07-13 |
| 1295751535 | Victoria G Nelson | Chiropractor | 1980 Broadway, Placerville, CA 95667-9001 | 2006-07-13 |
| 1649207572 | John M Mooney, A Chiropractic Corporation | Chiropractor | 1980 Broadway, Placerville, CA 95667-9001 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053919258 | Lacey Etienne Neufeld | Nurse Practitioner | Marshall Transitional Care Unit, 1100 Marshall Way, Placerville, CA 95667 | 2020-10-12 |
| 1497390041 | Summitview Child & Family Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3025 Glee Ln, Placerville, CA 95667 | 2019-11-07 |
| 1225694474 | Camille Borba | Doula | 1212 Lotus Rd, Placerville, CA 95667 | 2019-05-14 |
| 1033610399 | Julie Marie Halsall | Counselor | 2844 Coloma Street, Placerville, CA 95667 | 2018-02-22 |
| 1053839092 | County of El Dorado | Community/Behavioral Health | 3057 Briw Road, Suite A, Placerville, CA 95667 | 2017-08-30 |
| 1982129508 | Brent Charles Ulrici | Counselor | 2986 Colma St, Placerville, CA 95667 | 2017-08-04 |
| 1629464326 | Crystal Coury | Counselor | 5607 Mount Murphy Roas, Garden Valley, CA 95667 | 2015-04-09 |
| 1396141750 | Brown and Ghazal Dental Corporation | Dentist | 3967 Missouri Flat Road, Suite 120, Placerville, CA 95667 | 2014-11-13 |
| 1962808402 | Laura Ann Curry | Counselor | 6765 Green Valley Road, Placerville, CA 95667 | 2014-11-11 |
| 1518374453 | Kelly Lynn Carson | Counselor | 2844 Colona St., Placerville, CA 95667 | 2014-07-11 |
| Find all providers in zip 95667 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376797340 | La Relle C Plubell Chiropractic Inc | Chiropractor | 7553 Green Valley Rd, Placerville, CA 95667-3917 | 2008-11-04 |
| 1063633501 | Matthew Hugh Shepherd | Chiropractor | 279 Placerville Dr, Suite K, Placerville, CA 95667-3931 | 2007-05-01 |
| 1275650541 | Mark Schwartzmeyer | Chiropractor | 640 Placerville Dr, Placerville, CA 95667-4215 | 2007-03-23 |
| 1003945957 | Kevin William Cooper | Chiropractor | 681 Main Street, Suite 204, Placerville, CA 95667 | 2007-03-05 |
| 1952453276 | Kinney Chiropractic, Inc. | Chiropractor | 4535 Missouri Flat Rd Ste 1f, Placerville, CA 95667-6808 | 2007-01-17 |
| 1053488163 | Sean Patterson | Chiropractor | 3550 El Dorado Rd, Placerville, CA 95667-5248 | 2006-11-30 |
| 1164594867 | Jackson Chiropractic Inc | Chiropractor | 4535 Missouri Flat Rd Ste 1e, Placerville, CA 95667-6808 | 2006-11-15 |
| 1770693111 | David E Hoagland | Chiropractor | 3901 Missouri Flat Rd, Placerville, CA 95667 | 2006-08-30 |
| 1588678411 | Larelle Chere Plubell | Chiropractor | 7553 Green Valley Rd., Placerville, CA 95667-3917 | 2006-07-28 |
| 1215983077 | Lee Bernard Kinney | Chiropractor | 4535 Missouri Flat Rd., Suite 1f, Placerville, CA 95667-8634 | 2006-05-25 |
| Find all providers in PLACERVILLE | ||||
| City | PLACERVILLE |
| Zip Code | 95667 |
Please comment or provide details below to improve the information on DR. BRENT M MOONEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.