Individual provider Active NPI

Christopher Michael Mangianti, DC

  • Chiropractor
  • Macomb, MI
National Provider Identifier
1134745425
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010870 Issued in MI
Practice address
21495 21 Mile Rd
Macomb, MI 48044-2963
Phone
(586) 855-9428
NPI assigned
Jun 22, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010870 MI Primary

Addresses

Primary practice location

21495 21 Mile Rd
Macomb, MI 48044-2963

Mailing address

21495 21 Mile Rd
Macomb, MI 48044-2963
Phone (586) 855-9428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201015000638 MI Practitioner - Chiropractic 1557781481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21495 21 Mile Rd
Macomb, MI 48044-2963
Phone (586) 329-3494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301010870MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
True North Family Chiropractic PLLC Chiropractor CurrentSince Aug 14, 2020 Accepting new patients

Locations

21495 21 Mile Rd
Macomb, MI 48044
Phone (586) 329-3494

Organizations & group practices 1

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": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1134745425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21495 21 MILE RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480442963",
            "telephone_number": "586-855-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21495 21 MILE RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480442963",
            "telephone_number": "586-855-9428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGIANTI",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macomb, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.

Verify at the official NPI Registry.