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MUNGOVAN CHIROPRACTIC PC
NPI 1154533354
Chiropractor in Fort Wayne, IN

Active since May 03, 2007
4705 ILLINOIS RD STE 102, FORT WAYNE, IN 46804(260) 447-1067(260) 447-0827 Get Directions Write a Review

NPPES record last updated: April 9, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mungovan Chiropractic Pc NPPES

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

MUNGOVAN CHIROPRACTIC PC (NPI 1154533354) is a healthcare organization registered as a chiropractor in Fort Wayne, Indiana and active in the NPI registry since May 2007. The organization lists Michael Thomas Mungovan, Owner, as its authorized official.

NPPES Registry Identity

NPI1154533354
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameMUNGOVAN CHIROPRACTIC PC
Location Address4705 ILLINOIS RD STE 102Fort Wayne, IN 46804-5108
Mailing Address4705 Illinois Rd Ste 102Fort Wayne, IN 46804-5108 · (260) 447-1067 · Fax (260) 447-0827
Phone(260) 447-1067
Fax(260) 447-0827
Organization SubpartNo
Authorized OfficialMichael Thomas MungovanOwner · (260) 447-1067
Enumeration DateMay 3, 2007
Last NPPES UpdateApril 9, 2013
✔ NPI 1154533354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IN · 08001044
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.
4705 ILLINOIS RD STE 102, Fort Wayne, IN 46804
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Other Identifiers 1

Other226000AIN · Medicare Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MR. MICHAEL THOMAS MUNGOVAN DC
Chiropractor
4705 ILLINOIS RD STE 102
FORT WAYNE, IN 46804
Allen County (260) 447-1067

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 Mungovan Chiropractic PC's NPI number?

The NPI number for Mungovan Chiropractic PC is 1154533354. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Mungovan Chiropractic PC located?

Mungovan Chiropractic PC is located at 4705 Illinois Rd Ste 102, Fort Wayne, IN 46804. The listed phone number is (260) 447-1067.

What is Mungovan Chiropractic PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Mungovan Chiropractic PC was last updated on April 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.