Mark Anthony Betsill, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4022 Issued in OR

Practice address

23479 SE Stark St Ste 101
Gresham, OR 97030-2962

Phone

(503) 618-0147

Fax

(503) 618-0148

NPI assigned

Jan 17, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aspire Chiropractic and Massage Inc 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles (1 of 3)

Networks

• WA PPO C-SNP
• devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aspire Chiropractic & Massage Inc.

  • Chiropractor
  • Gresham, OR
  • NPI 1780923532

  OR

  Medicare reassignment Care Compare group Authorized official
• Active Chiropractic, PC

  • Chiropractor
  • Boise, ID
  • NPI 1679724330
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1003092248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23479 SE STARK ST STE 101",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302962",
            "telephone_number": "503-618-0147",
            "fax_number": "503-618-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23479 SE STARK ST STE 101",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302962",
            "telephone_number": "503-618-0147",
            "fax_number": "503-618-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETSILL",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-17",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "4022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel R Berger
• Robert W Bergstrom, MD
• Lily Bradenrose Berlstein, SLP
• Heidi Bermeosolo, LPC
• Gabriel Tucker Bertell, PHARMD
• Athena Marie Bettger, DMD
• Betty Transportation LLC
• Jenifer Bice, LCSW
• Elizabeth Biesemeyer, DPT, PT
• Big Mama Doulas - Grandmanem Style

• All providers in Gresham, OR
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.