Active NPI
Kenneth Roy Monger, D.C.
- Pediatric Chiropractor
- Bayfield, CO
National Provider Identifier
1457517609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Chiropractor
- License
- 6265
- Practice address
- 1327 Hwy 160B
Bayfield, CO 81122 - Phone
- (970) 884-2082
- Fax
- (970) 884-2963
- NPI assigned
- Aug 6, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Chiropractor | 111NP0017X | 6265 | CO | Primary |
Addresses
Primary practice location
1327 Hwy 160B
Bayfield, CO 81122
Mailing address
PO Box 532
Bayfield, CO 81122
Phone (970) 884-2082
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayfield Chiropractic | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Bayfield, CO
- NPI 1336309608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251244800000",
"number": "1457517609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 532",
"city": "BAYFIELD",
"state": "CO",
"postal_code": "81122",
"telephone_number": "970-884-2082",
"fax_number": "970-884-2963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1327 HWY 160B",
"city": "BAYFIELD",
"state": "CO",
"postal_code": "81122",
"telephone_number": "970-884-2082",
"fax_number": "970-884-2963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONGER",
"first_name": "KENNETH",
"middle_name": "ROY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-06",
"last_updated": "2009-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "111NP0017X",
"taxonomy_group": "",
"desc": "Chiropractor, Pediatric Chiropractor",
"state": "CO",
"license": "6265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayfield, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.