Active NPI
Mia Francesca Mannella, DC
- Chiropractor
- Seaside, OR
National Provider Identifier
1952090615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6163
- Practice address
- 1011 Fourth Ave
Seaside, OR 97138 - Phone
- (503) 717-5507
- NPI assigned
- May 8, 2023
- Last updated
- May 8, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6163 | OR | Primary |
Addresses
Primary practice location
1011 Fourth Ave
Seaside, OR 97138
Mailing address
1011 Fourth Ave
Seaside, OR 97138
Phone (503) 717-5507
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230905001671 | OR | Practitioner - Chiropractic | 2668835950 | Practice locations: Seaside, OR |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1011 4TH Ave
Seaside, OR 97138-7903
Phone (503) 717-5507
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6163 | OR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683504000000",
"number": "1952090615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 FOURTH AVE",
"city": "SEASIDE",
"state": "OR",
"postal_code": "97138",
"telephone_number": "503-717-5507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 FOURTH AVE",
"city": "SEASIDE",
"state": "OR",
"postal_code": "97138",
"telephone_number": "503-717-5507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNELLA",
"first_name": "MIA",
"middle_name": "FRANCESCA",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-08",
"last_updated": "2023-05-08",
"certification_date": "2023-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "6163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seaside, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.