Active NPI
Julien Mignon, DC
- Chiropractor
- White Marsh, MD
National Provider Identifier
1508135328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3683
- Practice address
- 5430 Campbell Blvd
Suite 106
White Marsh, MD 21162-5500 - Phone
- (443) 725-4930
- Fax
- (443) 725-4933
- NPI assigned
- Dec 22, 2011
- Last updated
- Dec 22, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3683 | MD | Primary |
Addresses
Primary practice location
5430 Campbell Blvd
Suite 106
White Marsh, MD 21162-5500
Mailing address
5430 Campbell Blvd
Suite 106
White Marsh, MD 21162-5500
Phone (443) 725-4930
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3683 | MD | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324512000000",
"number": "1508135328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5430 CAMPBELL BLVD",
"address_2": "SUITE 106",
"city": "WHITE MARSH",
"state": "MD",
"postal_code": "211625500",
"telephone_number": "443-725-4930",
"fax_number": "443-725-4933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5430 CAMPBELL BLVD",
"address_2": "SUITE 106",
"city": "WHITE MARSH",
"state": "MD",
"postal_code": "211625500",
"telephone_number": "443-725-4930",
"fax_number": "443-725-4933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIGNON",
"first_name": "JULIEN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-22",
"last_updated": "2011-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "3683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in White Marsh, MD
- Maryland Interventional Pain Management LLC
- Maryland Interventional Pain Management, LLC (Baltimore Pain Relief Center)
- Jonathan Matz, M.D.
- Alicia Lajuan Medina, CRNP
- Megasource Providers Inc.
- Glenn Paul Miller, DDS
- Mohamad Alabrash, M.D.
- Monarch Xpress Health LLC
- Martha Angela Montemar, PT
- Ann C Morrill, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.