Michael Mongiello, DC, CACCP

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR010773 Issued in GA

Practice address

1120 Havel Dr SW
Marietta, GA 30008-8149

Phone

(808) 275-6597

NPI assigned

Jun 1, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Anchor Chiropractic of Marietta

  • Chiropractor
  • Marietta, GA
  • NPI 1629844329
  NPD Authorized official

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1699414250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 HAVEL DR SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300088149",
            "telephone_number": "808-275-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 HAVEL DR SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300088149",
            "telephone_number": "808-275-6597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONGIELLO",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC, CACCP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zainab Ogbomuanor Momodu, RN/APRN
• Matthew Raymond Monaco, MD
• Michelle Elizabeth Monasterski-Klos, D.C.
• Ilene Kaufman Monat
• Amanda Money, FNP
• Susan Monias, D.C
• Mary Monroe
• Michael Chase Montague, PT
• David H Montaldi, MD
• Eduardo Montana Jr., MD MPH

• Chiropractor in Marietta, GA
• Providers in Marietta, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.