Active NPI
Prudence H Munger, DC
- Chiropractor
- Frankenmuth, MI
National Provider Identifier
1134311350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301006150
- Practice address
- 526 W Genesee St
Frankenmuth, MI 48734-1357 - Phone
- (810) 280-6641
- NPI assigned
- Aug 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4219 | KY | |
| Chiropractor | 111N00000X | 2256 | OH | |
| Chiropractor | 111N00000X | 1814 | SC | |
| Chiropractor | 111N00000X | 5165 | GA | |
| Chiropractor | 111N00000X | 2301006150 | MI | Primary |
Addresses
Primary practice location
526 W Genesee St
Frankenmuth, MI 48734-1357
Mailing address
2034 Algonac Dr
Flint, MI 48532-4505
Phone (810) 280-6641
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350 | Other | GA | MEDICARE RAILROAD PROVIDE |
| 35ZCDSH | Other | GA | MEDICARE PROVIDER |
| 1730111303 | Other | MI | CHIROPRACTIC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5165 | GA | MD | Chiropractor |
| 4219 | KY | MD | Chiropractor |
| 2301006150 | MI | MD | Chiropractor |
| 2256 | OH | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633305600000",
"number": "1134311350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2034 ALGONAC DR",
"city": "FLINT",
"state": "MI",
"postal_code": "485324505",
"telephone_number": "810-280-6641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "526 W GENESEE ST",
"city": "FRANKENMUTH",
"state": "MI",
"postal_code": "487341357",
"telephone_number": "810-280-6641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNGER",
"first_name": "PRUDENCE",
"middle_name": "H",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-12",
"last_updated": "2021-10-04",
"certification_date": "2021-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "4219",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "2256",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "1814",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "5165",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301006150",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD PROVIDE",
"identifier": "350",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER",
"identifier": "35ZCDSH",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTIC",
"identifier": "1730111303",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Frankenmuth, MI
- Branden L McDowell, DPT, SCS
- Mi Chiro Corporation
- Randi L Michael
- Kelly May Mills, MSPT
- Ali Mroueh
- Debra Ann Murday
- Mymichigan Medical Center Saginaw
- Mymichigan Medical Center Saginaw (Ascension Medical Group Frankenmuth Family Physicians)
- Mymichigan Medical Center Saginaw
- Nancy Haskin D.C. P.L.L.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.