Monty Milton McGowen, D.C.
Individual provider Active NPI Chiropractor · Raton, NM
NPI 1043362817 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1043362817
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1439 (NM)
- Practice address
- 1800 Hospital Dr
Raton, NM 87740-2031 - Phone
- (505) 445-0222
- NPI assigned
- Jan 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1800 Hospital Dr
Raton, NM 87740-2031
Phone (575) 445-0222
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CO, NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120126000202 | CO | Practitioner - Chiropractic | 3274432042 | Reassigns benefits to 1 organization |
| I20120308000228 | NM | Practitioner - Chiropractic | 3274432042 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4782 | CO | MD | Chiropractor |
| 1439 | NM | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McGowen Family Care Chiropractic, P.C. | Chiropractor | Current |
Accepting new patients |
| Clark Family Chiropractic Inc | Chiropractor | Current |
Accepting new patients |
| Helena Chiropractic Center PLLC | Chiropractor | Past | Accepting new patients |
Locations
500 San Juan St
Trinidad, CO 81082
Phone (719) 845-0001
1800 Hospital Dr
Raton, NM 87740
Phone (505) 445-0222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1439 | NM | Yes |
| Chiropractor | 111N00000X | 4782 | CO |
Addresses
Primary practice location
1800 Hospital Dr
Raton, NM 87740-2031
Mailing address
1800 Hospital Dr
Raton, NM 87740-2031
Phone (505) 445-0222
Other providers in Raton, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.