Mitchel V. Mondo, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1928 Issued in MN

Legal business name

MITCHEL V. MONDO, INC.

Practice address

1310 Highway 96 E Ste 206
White Bear Lake, MN 55110-3619

Phone

(651) 429-0101

Fax

(651) 407-3163

NPI assigned

Jun 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mitchel V Mondo, D.C.

Title

Owner

Phone

(651) 429-0101

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Total Health Solutions, Inc. Doing business as

Locations

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275738577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 HIGHWAY 96 E STE 206",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103619",
            "telephone_number": "651-429-0101",
            "fax_number": "651-407-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 HIGHWAY 96 E STE 206",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103619",
            "telephone_number": "651-429-0101",
            "fax_number": "651-407-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHEL V. MONDO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONDO",
        "authorized_official_first_name": "MITCHEL",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-429-0101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "1928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "26147MO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Health Solutions, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Minnhealth Family Physicians, P.a.
• Kimberley M Mintell, DC
• Mary Catherine Mohr, DO
• Momenta Mental Health
• James G Mondo, D.C.
• Mitchel Vincent Mondo, D.C.
• Mackenzie Monty

• Chiropractor in White Bear Lake, MN
• Providers in White Bear Lake, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.