DR. KIP MANGAN (NPI# 1770990855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770990855 |
| Entity Type | Individual |
| Full Name | DR. KIP MANGAN |
| Credential | D.C. |
| Practice Address |
1905 E Big Beaver Rd Troy MI 48083-2006 |
| Mailing Address |
29377 Maurice Ct Chesterfield MI 48047-3750 |
| Practice Telephone | 2487200444 |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2014-07-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NP0017X |
Chiropractor Specialization: Pediatric Chiropractor |
2301010154 | MI | Chiropractic Providers |
| Street Address |
1905 E BIG BEAVER RD |
| City | TROY |
| State | MI |
| Zip Code | 48083-2006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285890673 | Chiropractic Studio Pllc | Chiropractor | 1905 E Big Beaver Rd, Troy, MI 48083-2006 | 2008-08-05 |
| 1396282018 | Carson Hutto | Chiropractor | 1905 E Big Beaver Rd, Troy, MI 48083-2006 | 2017-01-20 |
| 1962828517 | Christina Cole | Chiropractor | 1905 E Big Beaver Rd, Troy, MI 48083-2006 | 2014-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417420449 | Thapasvi Muttirevula | Physical Therapist | 2422 Cedar Knoll Dr, Troy, MI 48083 | 2019-01-02 |
| 1114418290 | Ann Katchke | Physical Therapist | 3179 Livernois Rd, Troy, MI 48083 | 2018-05-23 |
| 1518485945 | Risa Rae Mendelson | Counselor | 1059 Owendale Street, Troy, MI 48083 | 2017-09-06 |
| 1497277115 | Gassan Asadi | Pharmacist | 215 E Big Beaver Rd Ste 500, Troy, MI 48083 | 2017-07-14 |
| 1528510328 | Dylan Skye Polasko | Behavioral Analyst | 2221 E 4th St, #101, Troy, MI 48083 | 2016-10-27 |
| 1235683061 | Sadia Ghazi | Technician, Other | 3178 Daley Dr., Troy, MI 48083 | 2016-08-10 |
| 1548664345 | Amber Leigh Ernst | Social Worker | 1225 E. Big Beaver Road, Troy, MI 48083 | 2014-10-22 |
| 1356782411 | Michelle Louise Knoblock | Nurse Anesthetist, Certified Registered | 1560 E Maple Rd Ste 100, Troy, MI 48083 | 2013-07-17 |
| 1437400728 | Oakland Physicians Surgery Center | Clinic/Center | 1560 E. Maple Road, Suite 100, Troy, MI 48083 | 2012-09-26 |
| 1861748238 | Pro Med Substance Abuse Program LLC | Psychologist | 2891 E. Maple Rd. Suite 200, Troy, MI 48083 | 2012-08-03 |
| Find all providers in zip 48083 | ||||
| Taxonomy Code | 111NP0017X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Pediatric Chiropractor |
| The Pediatric Chiropractor is a chiropractor with specialized, advanced training and certification in the evaluation, care and management of health and wellness conditions of infancy, childhood and adolescence. This specialist provides primary, comprehensive, therapeutic and preventative chiropractic health care for newborns through adolescents. |
| Notes: Source: Council on Chiropractic Pediatrics, American Chiropractic Association, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538413745 | Mohammad Hazimi Hazimi | Chiropractor | 15825 Middlebelt Rd, Livonia, MI 48154-3811 | 2012-11-09 |
| 1871723114 | Slagle Family Chiropractic Pllc | Chiropractor | 45850 Warwick Dr, Macomb, MI 48044-4066 | 2009-07-21 |
| 1174137319 | Infinite Potential Chiropractic Pllc | Chiropractor | 4655 Dobie Rd Ste 245, Okemos, MI 48864-2233 | 2020-09-04 |
| 1306310446 | Navpreet Saini | Chiropractor | 7487 Grand River Rd, Brighton, MI 48114-9374 | 2019-01-11 |
| 1770954620 | Zachary Earl Simkins | Chiropractor | 2749 Plymouth Rd, Ann Arbor, MI 48105-2427 | 2015-10-16 |
| 1962829275 | Emma Lockwood | Chiropractor | 31850 Schoenherr Rd, Warren, MI 48088-1983 | 2014-03-25 |
| 1770900557 | Sawubona Chiropractic Pllc | Chiropractor | 31850 Schoenherr Rd, Warren, MI 48088-1983 | 2014-03-18 |
| 1184964876 | Clark Chiropractic Centre | Chiropractor | 28800 W 8 Mile Rd, Ste 5858, Farmington Hills, MI 48336-5906 | 2013-02-18 |
| 1336402288 | Senechal Family Chiropractic, PC | Chiropractor | 30802 Lyon Center Dr E, New Hudson, MI 48165-8582 | 2012-06-15 |
| 1922391051 | Higher Health Pllc | Chiropractor | 1021 Gezon Pkwy Sw, Wyoming, MI 49509-9542 | 2011-05-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.