Active NPI
Thor Patrick Mongie, D.C.
- Radiology Chiropractor
- Payson, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Chiropractor
- License
- B00981
- Practice address
- 2 N Main St
Payson, UT 84651 - Phone
- (702) 417-8522
- NPI assigned
- Dec 15, 2006
- Last updated
- Aug 2, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Chiropractor | 111NR0200X | B00981 | NV | Primary |
Addresses
Primary practice location
2 N Main St
Payson, UT 84651
Mailing address
2 N Main St
Payson, UT 84651-2239
Phone (702) 417-8522
Other practice location 1
2820 W Charleston Blvd
Suite A-6
Las Vegas, NV 89102-1942
Phone (702) 258-7860
Other practice location 2
2820 W Charleston Blvd
Suite A-6
Las Vegas, NV 89102-1942
Phone (702) 258-7860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2 N Main St
Payson, UT 84651-2239
Phone (702) 417-8522
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B00981 | NV | MD | Radiology Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thor Mongie D C LTD | Radiology | Current | Accepting new patients |
| Balanced Health of Payson Inc | Radiology | Current | Accepting new patients |
Locations
2820 W Charleston Blvd
#A6
Las Vegas, NV 89102
Phone (702) 258-7860
2 N Main St
Payson, UT 84651
Phone (702) 417-8522
Networks
- UT PPO D-SNP
- UT PPO
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Radiology Chiropractor
- Payson, UT
- NPI 1477051878
-
- Radiology Chiropractor
- Las Vegas, NV
- NPI 1407033269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533168000000",
"number": "1104988989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 N MAIN ST",
"city": "PAYSON",
"state": "UT",
"postal_code": "846512239",
"telephone_number": "702-417-8522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 N MAIN ST",
"city": "PAYSON",
"state": "UT",
"postal_code": "84651",
"telephone_number": "702-417-8522"
}
],
"practiceLocations": [
{
"address_1": "2820 W Charleston Blvd",
"address_2": "Suite A-6",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891021942",
"country_code": "US",
"telephone_number": "702-258-7860",
"fax_number": "702-258-5487",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2820 W Charleston Blvd",
"address_2": "Suite A-6",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891021942",
"country_code": "US",
"telephone_number": "702-258-7860",
"fax_number": "702-258-5487",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONGIE",
"first_name": "THOR",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-15",
"last_updated": "2018-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0200X",
"taxonomy_group": "",
"desc": "Chiropractor, Radiology",
"state": "NV",
"license": "B00981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Payson, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.