Individual provider Active NPI

Andrea M. Mangi

  • Chiropractor
  • East Alton, IL
National Provider Identifier
1982934246
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011593 Issued in IL
Practice address
133 E Saint Louis Ave
East Alton, IL 62024-1542
Phone
(618) 259-8000
NPI assigned
Jan 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038011593 IL Primary

Addresses

Primary practice location

133 E Saint Louis Ave
East Alton, IL 62024-1542

Mailing address

133 E Saint Louis Ave
East Alton, IL 62024-1542
Phone (618) 259-8000

Other names 1

  • Dr. Andrea M. Mangi Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100303001033 IL Practitioner - Chiropractic 1759426604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

133 E Saint Louis Ave
East Alton, IL 62024-1542
Phone (618) 259-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mangi Chiropractic & Acupuncture, Inc. Chiropractor CurrentSince Mar 1, 2011 Accepting new patients
Brian M. Forbes, D. C. Chiropractor Past Accepting new patients
Forbes Chiropractic & Rehab Chiropractor Past Accepting new patients

Locations

133 E Saint Louis Ave
East Alton, IL 62024
Phone (618) 259-8000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1263081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323820800000",
    "number": "1982934246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 E SAINT LOUIS AVE",
            "city": "EAST ALTON",
            "state": "IL",
            "postal_code": "620241542",
            "telephone_number": "618-259-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E SAINT LOUIS AVE",
            "city": "EAST ALTON",
            "state": "IL",
            "postal_code": "620241542",
            "telephone_number": "618-259-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGI",
        "first_name": "ANDREA",
        "middle_name": "M.",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-10",
        "last_updated": "2011-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "MANGI",
            "middle_name": "M.",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in East Alton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.

Verify at the official NPI Registry.