Organization Active NPI

Gregory J. Mongeon, DC, PC

  • Chiropractor
  • Lincoln, NE
National Provider Identifier
1528390564
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1558 Issued in NE
Legal business name
GREGORY J. MONGEON, DC, PC
Practice address
2855 S 70TH St
Lincoln, NE 68506-3700
Phone
(612) 499-1008
NPI assigned
Feb 2, 2010
Last updated
Feb 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Authorized official

Name
Gregory Mongeon, D.C.NPI 1063530830
Title
President
Phone
(612) 499-1008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1558 NE Primary

Addresses

Primary practice location

2855 S 70TH St
Lincoln, NE 68506-3700

Mailing address

2508 Bordeaux LN Apt 208
Naperville, IL 60540-2013
Phone (612) 499-1008

Other identifiers 1

IdentifierTypeStateIssuer
782696600MedicaidMN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1528390564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 BORDEAUX LN APT 208",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605402013",
            "telephone_number": "612-499-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 S 70TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685063700",
            "telephone_number": "612-499-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY J. MONGEON, DC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "MONGEON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-499-1008",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "782696600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.