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ISAAC MOOBERRY D.C.
NPI 1063543213
Chiropractor in Denver, CO

Active since March 08, 2007
3400 E BAYAUD AVE STE 290, DENVER, CO 80209(303) 399-3569 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 21, 2022, Apr 9, 2019, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Isaac Mooberry D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ISAAC MOOBERRY D.C. (NPI 1063543213) is an individual chiropractor in Denver, Colorado, licensed in Colorado (6030) and active in the NPI registry since March 2007. He maintains 2 additional practice locations and is a graduate of Western States College Of Chiropractic (2006).

NPPES Registry Identity

NPI1063543213
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameISAAC MOOBERRYCredential: D.C.
Location Address3400 E BAYAUD AVE STE 290Denver, CO 80209
Mailing Address3400 E Bayaud Ave Ste 290Denver, CO 80209-2926 · (303) 399-3569
Phone(303) 399-3569
Sole ProprietorYes
Medical School CMSWestern States College Of ChiropracticGraduated 2006
Enumeration DateMarch 8, 2007
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1063543213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CO · 6030
Definition
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.
3400 E BAYAUD AVE STE 290, Denver, CO 80209
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Secondary Practice Locations 2

Location 1100 S Madison St Ste 1ADenver, CO 80209-3018 · Phone (303) 399-3569
Location 23045 Whitman Dr, Suite 102Evergreen, CO 80439-2210 · Phone (303) 670-7777 · Fax (303) 482-1946

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Isaac Mooberry D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860551397
PECOS Enrollment IDI20081124000287

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Isaac Mooberry's NPI number?

The NPI number for Isaac Mooberry is 1063543213. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Where is Isaac Mooberry located?

Isaac Mooberry practices at 3400 E Bayaud Ave Ste 290, Denver, CO 80209. The listed phone number is (303) 399-3569.

What is Isaac Mooberry's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Isaac Mooberry enrolled in Medicare?

Yes. Isaac Mooberry is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Isaac Mooberry was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.