Active NPI
Gregory J. Mongeon, DC, PC
- Chiropractor
- Lincoln, NE
National Provider Identifier
1528390564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1558
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregory Mongeon, D.C.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 782696600 | Medicaid | MN |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Chiropractor
- Lincoln, NE
- NPI 1063530830
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.