Active NPI
Jerome Francis Mangen, D.C.
- Chiropractor
- Arkansas City, KS
National Provider Identifier
1508961186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01-03739
- Practice address
- 2508 Edgemont Dr
Suite 2
Arkansas City, KS 67005-3844 - Phone
- (620) 442-7120
- Fax
- (620) 442-7121
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
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.
-
- Family Nurse Practitioner
- Arkansas City, KS
- NPI 1083286728
-
- Family Nurse Practitioner
- Arkansas City, KS
- NPI 1194505776
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
| License | State | Type | Specialty |
|---|---|---|---|
| 01-03739 | KS | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abbas Family Medicine | Past | Accepting new patients | |
| TLC Family Health | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01-03739 | KS | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2508 Edgemont Dr
Suite 2
Arkansas City, KS 67005-3844
Mailing address
2508 Edgemont Dr
Suite 2
Arkansas City, KS 67005-3844
Phone (620) 442-7120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 6, 2013.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378425600000",
"number": "1508961186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2508 EDGEMONT DR",
"address_2": "SUITE 2",
"city": "ARKANSAS CITY",
"state": "KS",
"postal_code": "670053844",
"telephone_number": "620-442-7120",
"fax_number": "620-442-7121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2508 EDGEMONT DR",
"address_2": "SUITE 2",
"city": "ARKANSAS CITY",
"state": "KS",
"postal_code": "670053844",
"telephone_number": "620-442-7120",
"fax_number": "620-442-7121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANGEN",
"first_name": "JEROME",
"middle_name": "FRANCIS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2013-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "01-03739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arkansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.