Shawnee Rose Mangino, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010648 Issued in MI

Practice address

214 W Wackerly St Ste 100
Midland, MI 48640-2795

Phone

(989) 837-5998

Fax

(989) 835-9632

NPI assigned

Mar 15, 2018

Last updated

Mar 28, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Revive Family Chiropractic LLC

  dba Revive Family Chiropractic

  • Chiropractor
  • Milford, MI
  • NPI 1073385597
  Medicare reassignment NPD Authorized official
• Advanced Chiropractic of Midland P.C.

  dba Advanced Chiropractic

  • Chiropractor
  • Midland, MI
  • NPI 1821022070
  Medicare reassignment
• Mt Pleasant Chiropractic PLLC

  dba Whitford Chiropractic Clinic

  • Chiropractor
  • Mt Pleasant, MI
  • NPI 1376156810
  Medicare reassignment
• Hicks Chiropractic P.C.

  • Chiropractor
  • Garden City, MI
  • NPI 1851580302
  NPD (past)

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1356844310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 W WACKERLY ST",
            "address_2": "STE 100",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402795",
            "telephone_number": "989-837-5998",
            "fax_number": "989-835-9632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W WACKERLY ST STE 100",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402795",
            "telephone_number": "989-837-5998",
            "fax_number": "989-835-9632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGINO",
        "first_name": "SHAWNEE",
        "middle_name": "ROSE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-15",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Malabanan
• Hernan Maldonado, MD
• Fouad Malik, PA-C
• Mishaal Malik
• Stephanie Marie Mallord, N.P.
• Scott Joseph Mango, CRNA
• Kari Mann
• Chad H Mansour, MD
• Manual Therapeutics Inc
• Tina M. Marcellis, B.S.

• Chiropractor in Midland, MI
• Providers in Midland, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; 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.