COLT MANGUS DC
NPI 1023709904
Chiropractor in Lenexa, KS

Active since May 19, 2023
16966 CITY CENTER DR, LENEXA, KS 66219(913) 308-0300 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Colt Mangus Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLT MANGUS DC (NPI 1023709904) is an individual chiropractor in Lenexa, Kansas, licensed in Kansas (01-06252) and active in the NPI registry since May 2023. He is a graduate of Cleveland Chiropractic College - Kansas City (2022).

NPPES Registry Identity

NPI1023709904
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameCOLT MANGUSCredential: DC
Location Address16966 CITY CENTER DRLenexa, KS 66219-8201
Mailing Address2625 Butterfield Rd Ste 301nOak Brook, IL 60523-1266 · (630) 468-1836
Sole ProprietorNo
Medical School CMSCleveland Chiropractic College - Kansas CityGraduated 2022
Enumeration DateMay 19, 2023
NPPES CertifiedMay 10, 2023
✔ NPI 1023709904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in KS · 01-06252
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
16966 CITY CENTER DR, Lenexa, KS 66219

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colt Mangus Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981060555
PECOS Enrollment IDI20260423001896

Medicare Billing Reassignment

Medicare enrollment records show Colt Mangus reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chiropractor
8604 E 63RD ST
Kansas City, MO 64133
  • Reassigned Medicare billing, Missouri enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
16966 CITY CENTER DR
LENEXA, KS 66219
Chiropractor
16966 CITY CENTER DR
LENEXA, KS 66219

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Colt Mangus's NPI number?

The NPI number for Colt Mangus is 1023709904. It was assigned to this individual provider in the NPPES registry on May 19, 2023.

Where is Colt Mangus located?

Colt Mangus practices at 16966 City Center Dr, Lenexa, KS 66219. The listed phone number is (913) 308-0300.

What is Colt Mangus's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Colt Mangus enrolled in Medicare?

Yes. Colt Mangus is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Colt Mangus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Colt Mangus reassigns Medicare benefits to Mangus Chiropractic & Wellness LLC (Kansas City, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Colt Mangus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Colt Mangus accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and UnitedHealthcare list Colt Mangus as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Colt Mangus was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.