Individual provider Active NPI

Christopher Mango, DC

  • Chiropractor
  • New York, NY
National Provider Identifier
1376847756
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X010998-1 Issued in NY
Practice address
157 E 72ND St Ofc J
New York, NY 10021-4333
Phone
(917) 338-6048
NPI assigned
Dec 29, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X010998-1 NY Primary

Addresses

Primary practice location

157 E 72ND St Ofc J
New York, NY 10021-4333

Mailing address

157 E 72ND St Ofc J
New York, NY 10021-4333
Phone (917) 338-6048

Other practice location 1

2 E 76th St
New York, NY 10021-2611
Phone (917) 338-6048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X010998-1NYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1376847756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 E 72ND ST OFC J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214333",
            "telephone_number": "917-338-6048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 E 72ND ST OFC J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214333",
            "telephone_number": "917-338-6048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 E 76th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100212611",
            "country_code": "US",
            "telephone_number": "917-338-6048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANGO",
        "first_name": "CHRISTOPHER",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-29",
        "last_updated": "2021-09-14",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010998-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.