Organization Active NPI

Calvin E. Mang, DCPC

  • Rehabilitation Chiropractor
  • Coos Bay, OR
National Provider Identifier
1831895648
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
CALVIN E. MANG, DCPC
Practice address
790 Anderson Ave
Coos Bay, OR 97420-4627
Phone
(541) 756-0525
Fax
(541) 808-0990
NPI assigned
Feb 2, 2023
Organization subpart
Yes
Parent organization
CALVIN E. MANG, DCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Authorized official

Name
Calvin MangNPI 1780715953
Title
Owner
Phone
(541) 267-6777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X Primary

Addresses

Primary practice location

790 Anderson Ave
Coos Bay, OR 97420-4627

Mailing address

790 Anderson Ave
Coos Bay, OR 97420-4627
Phone (541) 756-0525

Other identifiers 1

IdentifierTypeStateIssuer
1780715953MedicaidOR

Other names 2

  • Calvin E Mang DC Other name
  • Mang Chiropractic Other name

National Provider Directory

National Provider Directory
Part of
Calvin E Mang DCPC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1831895648",
    "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": "974204627",
            "telephone_number": "541-756-0525",
            "fax_number": "541-808-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVIN E. MANG, DCPC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CALVIN E. MANG, DC",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "MANG",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-267-6777"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780715953",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calvin E Mang DC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Mang Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Coos Bay, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.