Individual provider Active NPI

Mitchell W Monday, DC

  • Chiropractor
  • Sarasota, FL
National Provider Identifier
1053588046
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH14540 Issued in FL
Practice address
5664 Bee Ridge Rd Ste 100
Sarasota, FL 34233-1504
Phone
(941) 379-2737
Fax
(941) 379-2738
NPI assigned
May 9, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002368A IN
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH14540 FL Primary

Addresses

Primary practice location

5664 Bee Ridge Rd Ste 100
Sarasota, FL 34233-1504

Mailing address

5664 Bee Ridge Rd Ste 100
Sarasota, FL 34233-1504
Phone (941) 379-2737

Other practice location 1

11065 Broadway
Bldg 12 Ste A
Crown Point, IN 46307-7301
Phone (312) 909-1518

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
CH14540FLMDChiropractor
08002368AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mercer Family Chiropractic Chiropractor CurrentSince Jun 4, 2023 Accepting new patients
Lifestyle Chiropractic & Progressive Rehab Chiropractor PastSince Jun 1, 2008 Accepting new patients

Locations

5664 Bee Ridge Rd
Ste 100
Sarasota, FL 34233
Phone (941) 379-2737

Organizations & group practices 2

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": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1053588046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5664 BEE RIDGE RD STE 100",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331504",
            "telephone_number": "941-379-2737",
            "fax_number": "941-379-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5664 BEE RIDGE RD STE 100",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331504",
            "telephone_number": "941-379-2737",
            "fax_number": "941-379-2738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11065 Broadway",
            "address_2": "Bldg 12 Ste A",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463077301",
            "country_code": "US",
            "telephone_number": "312-909-1518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONDAY",
        "first_name": "MITCHELL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-09",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002368A",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.