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

Sex

Male

Sole proprietor

No

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.

• Mongillo Family Chiropractic LLC

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

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 26, 2023.

{
    "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
• Michelle Payne Counseling
• Mongillo Family Chiropractic LLC
• Tina Deborah Montemurno, M.D.
• Peyton Moore
• Modesto A Moreno, PA-C
• Scot B. Morris, O.D.
• Sara Murphy, PHARMD

• All providers in Conifer, CO
• 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.