Chris M. Monden, D.C., B.S.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3698 Issued in OK

Practice address

1212 S Air Depot Blvd
Suite 31
Midwest City, OK 73110-4870

Phone

(405) 736-6850

Fax

(405) 736-6823

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

Locations

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.

• Revelations Chiropractic, Inc.

  • Chiropractor
  • Midwest City, OK
  • NPI 1902003916
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235216813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 S AIR DEPOT BLVD",
            "address_2": "SUITE 31",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731104870",
            "telephone_number": "405-736-6850",
            "fax_number": "405-736-6823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 S AIR DEPOT BLVD",
            "address_2": "SUITE 31",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731104870",
            "telephone_number": "405-736-6850",
            "fax_number": "405-736-6823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDEN",
        "first_name": "CHRIS",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.C., B.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3698",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9369",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Michelle Mitchell
• Lasandra Mixon
• Delaney CJ Mize
• Marella Kay Mize, M.ED., CCC-SLP/L
• Lynn Mogg, D.PH.
• Connor Monroe
• Jessica Moon
• Daonna Moore
• Jennifer Lea Moore
• Kathryn Elaine Moore, PHD

• Chiropractor in Midwest City, OK
• Providers in Midwest City, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.