Dr. Anthony Mongillo, D.M.D, M.S. — NPI 1669886982

Dr. Anthony Mongillo, D.M.D, M.S.’s National Provider Identifier is 1669886982. NPPES classifies this as a Type 1 individual record and reports a practice location in Idaho Falls, Idaho. The primary taxonomy is Orthodontics and Dentofacial Orthopedics Dentistry.

Key facts

NPI
1669886982
Entity type
Type 1 individual
NPPES status
Active in the August 10, 2026 snapshot
Practice location
250 S SKYLINE DR STE 4
Idaho Falls, Idaho 83402
Practice telephone
(208) 524-1404
Primary taxonomy
Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X)
Dental Providers › Dentist › Orthodontics and Dentofacial Orthopedics
Additional taxonomies
  • Dentist (122300000X)
Enumeration date
June 13, 2014
NPPES last update
May 9, 2024
Source
CMS NPPES, NPPES Data Dissemination August 2026 V2

Questions answered by the NPPES record

What is the NPI for Dr. Anthony Mongillo, D.M.D, M.S.?

The NPI listed for Dr. Anthony Mongillo, D.M.D, M.S. in the NPPES snapshot is 1669886982. The number passes the NPI check-digit test and is recorded as active in that snapshot.

Is NPI 1669886982 an individual or organization record?

NPPES records NPI 1669886982 as an Entity Type 1 record, which CMS assigns to an individual health care provider.

Where is the reported practice location?

The primary practice location reported to NPPES is 250 S SKYLINE DR STE 4, Idaho Falls, Idaho 83402.

What taxonomy codes are listed for this NPI?

2 taxonomy codes are listed. Primary: Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X). Additional: Dentist (122300000X). Names come from the NUCC Health Care Provider Taxonomy code set version 26.1; definitions are not reproduced.

When was the NPPES record last updated?

NPPES reports a last update date of May 9, 2024 and an enumeration date of June 13, 2014, as published in NPPES Data Dissemination August 2026 V2.

Source and data date

All facts on this page come from the Centers for Medicare & Medicaid Services (CMS) NPPES data dissemination file NPPES Data Dissemination August 2026 V2, released August 10, 2026 (snapshot date 2026-08-10). The record was reproduced from the main provider file without edits; only the fields listed on the methodology page are published.

CMS updates NPPES continuously and this page reflects a single monthly snapshot. Confirm current details in the official NPPES NPI Registry.

Directory pages

This profile is listed on the Idaho Falls, Idaho NPI directory and the Idaho NPI directory.

Other published profiles in Idaho Falls, ID

Up to ten other profiles this site publishes for Idaho Falls, listed alphabetically. Appearing together here indicates only a shared reported practice city, not any affiliation or relationship. The city page lists all 49 published profiles.

Independent service disclaimer

This directory is an independent, experimental publication of public NPPES fields. It is not affiliated with or endorsed by CMS, NPPES, Medicare, the American Medical Association, or the National Uniform Claim Committee. An NPI is an administrative identifier. Its presence here does not establish that a provider is licensed, credentialed, board certified, in good standing, accepting patients or insurance, employed by or affiliated with any organization, or currently practicing. Nothing on this page is medical, legal, or insurance advice.