Joshua Dominic Mongillo, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHR0008473 Issued in CO

Practice address

11873 Springs Rd Unit 125
Conifer, CO 80433-7263

Phone

(720) 773-2500

NPI assigned

Dec 2, 2022

Last updated

Oct 26, 2023By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mongillo Family Chiropractic LLC

  dba Mongillo Family Chiropractic

  • Chiropractor
  • Conifer, CO
  • NPI 1194597575
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1295445005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11873 SPRINGS RD STE 120",
            "city": "CONIFER",
            "state": "CO",
            "postal_code": "804337264",
            "telephone_number": "720-773-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11873 SPRINGS RD UNIT 125",
            "city": "CONIFER",
            "state": "CO",
            "postal_code": "804337263",
            "telephone_number": "720-773-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONGILLO",
        "first_name": "JOSHUA",
        "middle_name": "DOMINIC",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-02",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR0008473",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CO",
            "license": "EL2787320",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Jane",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11873 Springs Rd Unit 125",
            "city": "Conifer",
            "state": "CO",
            "country_code": "US",
            "postal_code": "804337263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alison Melson, MS, LPC
• David Troy Mesmer, PTA
• Metro Community Provider Network Inc (STRIDE Community Health Center)
• Michelle Payne Counseling
• Mongillo Family Chiropractic LLC (Mongillo Family Chiropractic)
• Tina Deborah Montemurno, M.D.
• Peyton Moore
• Alexandra P Moran, DO
• Modesto A Moreno, PA-C
• Scot B. Morris, O.D.

• Chiropractor in Conifer, CO
• Providers in Conifer, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.