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DR. MICKEY MONDRAGON DC
NPI 1023781812
Chiropractor in Albuquerque, NM

Active since July 27, 2021
2441 SAN PEDRO DR NE, ALBUQUERQUE, NM 87110(505) 403-6512 Get Directions Write a Review

NPPES record last updated: November 17, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 17, 2022, Jul 27, 2021 (2 updates tracked since 2021).

About Dr. Mickey Mondragon Dc NPPES

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

DR. MICKEY MONDRAGON DC (NPI 1023781812) is an individual chiropractor in Albuquerque, New Mexico, licensed in New Mexico (DC2250) and active in the NPI registry since July 2021. He is a graduate of Other (2019).

NPPES Registry Identity

NPI1023781812
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. MICKEY MONDRAGONCredential: DC
Location Address2441 SAN PEDRO DR NEAlbuquerque, NM 87110-4101
Mailing Address2441 San Pedro Dr NeAlbuquerque, NM 87110-4101 · (505) 403-6512
Phone(505) 403-6512
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 27, 2021
Last NPPES UpdateNovember 17, 20222 updates tracked since enumeration
NPPES CertifiedNovember 17, 2022
✔ NPI 1023781812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NM · DC2250
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.
2441 SAN PEDRO DR NE, Albuquerque, NM 87110
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mickey Mondragon Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113419029
PECOS Enrollment IDI20251216001165

Other Providers at the Same Location NPPES

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

HEALING MIND, BODY AND SOUL COUNSELING, LLC.
Counselor (Professional)
2441 SAN PEDRO DR NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 330-0666

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 Mickey Mondragon's NPI number?

The NPI number for Mickey Mondragon is 1023781812. It was assigned to this individual provider in the NPPES registry on July 27, 2021.

Where is Mickey Mondragon located?

Mickey Mondragon practices at 2441 San Pedro Dr NE, Albuquerque, NM 87110. The listed phone number is (505) 403-6512.

What is Mickey Mondragon's specialty?

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

Is Mickey Mondragon enrolled in Medicare?

Yes. Mickey Mondragon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mickey Mondragon was last updated on November 17, 2022. 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.