DR. MICKEY MONDRAGON DC
NPI 1023781812
Chiropractor in Albuquerque, NM
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Mickey Mondragon Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mickey Mondragon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Albuquerque, NM 87110
- Reassigned Medicare billing, New Mexico 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ALBUQUERQUE, NM 87110
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.
Which organization bills Medicare for Mickey Mondragon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mickey Mondragon reassigns Medicare benefits to Root And Stem Chiropractic LLC (Albuquerque, NM). 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 Mickey Mondragon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Dr. Mickey Mondragon, DC · NPI 1023781812
Chiropractor provider in Albuquerque, New Mexico. Individual provider, active in the CMS NPPES registry since July 27, 2021.
## Identity
- **NPI:** 1023781812 (Entity type: Individual)
- **Enumerated:** July 27, 2021
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** DC2250 (New Mexico)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2441 SAN PEDRO DR NE, Albuquerque, NM 87110-4101
- **Phone:** (505) 403-6512
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Root And Stem Chiropractic LLC (NPI 1811858962, Albuquerque, NM), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** November 17, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1023781812) · Data from the CMS NPPES public registry.