DR. MATTHEW MANGOLD DC
NPI 1679071393
Chiropractor in Bloomington, IL

Active since January 28, 2018
2710 E LINCOLN ST STE A, BLOOMINGTON, IL 61704(309) 662-8418 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Matthew Mangold Dc NPPES

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

DR. MATTHEW MANGOLD DC (NPI 1679071393) is an individual chiropractor in Bloomington, Illinois, licensed in Illinois (038013169) and active in the NPI registry since January 2018. He is a graduate of National College Of Chiropractic (2014).

NPPES Registry Identity

NPI1679071393
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. MATTHEW MANGOLDCredential: DC
Location Address2710 E LINCOLN ST STE ABloomington, IL 61704-6010
Mailing Address2406 E Washington StBloomington, IL 61704-4410
Sole ProprietorNo
Medical School CMSNational College Of ChiropracticGraduated 2014
Enumeration DateJanuary 28, 2018
Last NPPES UpdateAugust 6, 2024
NPPES CertifiedAugust 6, 2024
NPI 1679071393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in IL · 038013169
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.

2710 E LINCOLN ST STE A, Bloomington, IL 61704

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

PECOS PAC ID9739513599
PECOS Enrollment IDI20200102002198

Other Providers at the Same Location NPPES 3

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

Chiropractor
2710 E LINCOLN ST STE A
BLOOMINGTON, IL 61704
Chiropractor
2710 E LINCOLN ST STE A
BLOOMINGTON, IL 61704
Chiropractor
2710 E LINCOLN ST STE A
BLOOMINGTON, IL 61704

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 Matthew Mangold's NPI number?

The NPI number for Matthew Mangold is 1679071393. It was assigned to this individual provider in the NPPES registry on January 28, 2018.

Where is Matthew Mangold located?

Matthew Mangold practices at 2710 E Lincoln St Ste A, Bloomington, IL 61704. The listed phone number is (309) 662-8418.

What is Matthew Mangold's specialty?

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

Is Matthew Mangold enrolled in Medicare?

Yes. Matthew Mangold is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Mangold was last updated on August 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.