Healthcare Provider Details

I. General information

NPI: 1972426799
Provider Name (Legal Business Name): MANGAS FAMILY CHIROPRACTIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 HIGHWAY 25 N STE 103
BUFFALO MN
55313-1948
US

IV. Provider business mailing address

2010 KESTREL TRL
BUFFALO MN
55313-5676
US

V. Phone/Fax

Practice location:
  • Phone: 763-247-8778
  • Fax:
Mailing address:
  • Phone: 763-247-8778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSIAH JACOB MANGAS
Title or Position: FOUNDER
Credential: DC
Phone: 763-247-8778