Individual provider Active NPI

David Joseph Marinock Jr., D.C

  • Chiropractor
  • Lake Wales, FL
National Provider Identifier
1013292309
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10367 Issued in FL
Practice address
23857 Hwy 27
Lake Wales, FL 33859-7811
Phone
(863) 949-4815
Fax
(863) 949-4826
NPI assigned
Oct 18, 2011
Last updated
Feb 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH10367 FL Primary

Addresses

Primary practice location

23857 Hwy 27
Lake Wales, FL 33859-7811

Mailing address

23857 Hwy 27
Lake Wales, FL 33859-7811
Phone (863) 949-4815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH10367FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jahna Chiropractic, LLC Chiropractor CurrentSince Nov 2, 2013 Accepting new patients
David a Boersma DC PA Chiropractor PastSince Oct 4, 2012 Accepting new patients
Auburndale Chiropractic,LLC Chiropractor PastSince Oct 1, 2005 Accepting new patients

Locations

23857 Hwy 27
Lake Wales, FL 33859
Phone (863) 678-1500

Networks

  • FL HMO
  • AL HMO D-SNP
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • FL HMO D-SNP
  • AL HMO
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • FL PPO
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • FL HMO C-SNP

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1013292309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23857 HWY 27",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338597811",
            "telephone_number": "863-949-4815",
            "fax_number": "863-949-4826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23857 HWY 27",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338597811",
            "telephone_number": "863-949-4815",
            "fax_number": "863-949-4826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINOCK",
        "first_name": "DAVID",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-18",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Wales, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.