Mammen Chiropractic, PSC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4665 Issued in KY

Legal business name

MAMMEN CHIROPRACTIC, PSC

Practice address

6917 Sandstone Blvd
Louisville, KY 40219

Phone

(502) 689-3335

NPI assigned

May 11, 2007

Organization subpart

No

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

Authorized official

Name

Heather P Mammen

Title

Owner

Phone

(502) 689-3335

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1649485707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6917 SANDSTONE BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40219",
            "telephone_number": "502-689-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6917 SANDSTONE BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40219",
            "telephone_number": "502-689-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMMEN CHIROPRACTIC, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "MAMMEN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-689-3335"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85002608",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mamas in Motion LLC
• Erica Mamauag
• Florencio Mamauag, M.D.
• Faddy Zola Mambandu
• Bokhodir S Mamedov
• Heather P Mammen, D.C.
• Leah Mammen, DMD
• Tsion Solomon Mamo, BSN FNP STUDENT
• Grace Man
• Management Registry Inc.

• Chiropractor in Louisville, KY
• Providers in Louisville, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; 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.