Calvin Edwin Mang, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1189 Issued in OR

Practice address

790 Anderson Ave
Coos Bay, OR 97420

Phone

(541) 756-0525

Fax

(541) 808-0990

NPI assigned

Mar 8, 2007

Last updated

Jun 14, 2018By the provider in NPPES

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)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Calvin E. Mang, DCPC

  • Rehabilitation Chiropractor
  • Coos Bay, OR
  • NPI 1831895648
  NPD Authorized official
• Pacific Cascade Pain and Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • North Bend, OR
  • NPI 1275167462
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528934400000",
    "number": "1780715953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 ANDERSON AVE",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974204627",
            "telephone_number": "541-756-0525",
            "fax_number": "541-808-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 ANDERSON AVE",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "97420",
            "telephone_number": "541-756-0525",
            "fax_number": "541-808-0990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2040 Public Square Ct # A",
            "address_purpose": "LOCATION",
            "city": "North Bend",
            "state": "OR",
            "postal_code": "974591270",
            "country_code": "US",
            "telephone_number": "541-756-0525",
            "fax_number": "541-756-8428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANG",
        "first_name": "CALVIN",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2018-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "1189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Alan Maddox, M.D.
• Edgar Maeyens, MD
• Tiffany Mahikoa, RDH, EPDH
• Steve M Maland, CRNA
• Deborah B Manders, L.AC.
• Jessica Jean Manske
• Marcin Youthcare Coos Bay
• Misael Marquez, M.D.
• Jose A Marroquin, PA
• Milana Marie Marsenich, LCPC

• Chiropractor in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; 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.