Individual provider Active NPI

Michael Gerald Mungovan, DC

  • Chiropractor
  • Delaware, OH
National Provider Identifier
1609972579
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1923 Issued in OH
Practice address
81 East William St
Delaware, OH 43015-2345
Phone
(740) 369-2235
Fax
(740) 369-9797
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1923 OH Primary

Addresses

Primary practice location

81 East William St
Delaware, OH 43015-2345

Mailing address

PO Box 1355
Delaware, OH 43015-2345
Phone (740) 369-2235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130618000771 OH Practitioner - Chiropractic 0446499685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

81 E William St
Delaware, OH 43015-2345
Phone (740) 369-2235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mungovan Chiropractic and Rehab Inc Chiropractor CurrentSince Aug 19, 1996 Accepting new patients
North Franklin Street Chiropractic Centre, Inc. Chiropractor PastSince Jun 13, 2012 Accepting new patients

Locations

81 E William St
Delaware, OH 43015
Phone (740) 369-2235

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.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609972579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1355",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430152345",
            "telephone_number": "740-369-2235",
            "fax_number": "750-369-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 EAST WILLIAM ST",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430152345",
            "telephone_number": "740-369-2235",
            "fax_number": "740-369-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNGOVAN",
        "first_name": "MICHAEL",
        "middle_name": "GERALD",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delaware, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.