Individual provider Active NPI

Mark Jonathan Haynes, DC

  • Chiropractor
  • Billings, MT
National Provider Identifier
1013933001
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1115 Issued in MT
Practice address
670 King Park Dr
Ste 1
Billings, MT 59102-6257
Phone
(406) 655-4940
Fax
(406) 655-4944
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1115 MT Primary
Chiropractor 111N00000X DC25010 CA

Addresses

Primary practice location

670 King Park Dr
Ste 1
Billings, MT 59102-6257

Mailing address

670 King Park Dr
Ste 1
Billings, MT 59102-6257
Phone (406) 655-4940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070122000136 MT Practitioner - Chiropractic 5193750701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Mark J Haynes a Professional Chiropractic CorporationGroup PAC ID 6002910239, 2 clinicians

Practice addresses (Care Compare)

670 King Park Dr
Suite 1
Billings, MT 59102-6257
Phone (406) 655-4940

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC25010CAMDChiropractor

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013933001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 KING PARK DR",
            "address_2": "STE 1",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591026257",
            "telephone_number": "406-655-4940",
            "fax_number": "406-655-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 KING PARK DR",
            "address_2": "STE 1",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591026257",
            "telephone_number": "406-655-4940",
            "fax_number": "406-655-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "MARK",
        "middle_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "1115",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25010",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.