Organization Active NPI

Mongillo Family Chiropractic LLC

Doing business as Mongillo Family Chiropractic

  • Chiropractor
  • Conifer, CO
National Provider Identifier
1194597575
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MONGILLO FAMILY CHIROPRACTIC LLC
Doing business as
Mongillo Family Chiropractic
Practice address
11873 Springs Rd Ste 125
Conifer, CO 80433-7263
Phone
(720) 773-2500
NPI assigned
Oct 27, 2023
Last updated
Oct 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Authorized official

Name
Dr. Joshua D Mongillo, DCNPI 1295445005
Title
Owner
Phone
(720) 773-2500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

11873 Springs Rd Ste 125
Conifer, CO 80433-7263

Mailing address

11873 Springs Rd Ste 125
Conifer, CO 80433-7263
Phone (720) 773-2500

Other names 1

  • Mongillo Family Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240327001579 CO Part B Supplier - Clinic/Group Practice 8325485279 Receives reassigned benefits from 1 practitioner
Practice locations: Conifer, CO

National Provider Directory

National Provider Directory

Locations

11873 Springs Rd
Ste 125
Conifer, CO 80433
Phone (720) 773-2500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1194597575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11873 SPRINGS RD STE 125",
            "city": "CONIFER",
            "state": "CO",
            "postal_code": "804337263",
            "telephone_number": "720-773-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11873 SPRINGS RD STE 125",
            "city": "CONIFER",
            "state": "CO",
            "postal_code": "804337263",
            "telephone_number": "720-773-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONGILLO FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-27",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "MONGILLO",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-773-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mongillo Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conifer, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.