Active NPI
Mark Jonathan Haynes, DC
- Chiropractor
- Billings, MT
National Provider Identifier
1013933001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1115
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Los Angeles, 1996
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| DC25010 | CA | MD | Chiropractor |
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.
-
dba Montana Pain & Rehab Center/Montana Wellness Center
- Chiropractor
- Billings, MT
- NPI 1720132228
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.