Organization Active NPI

Mark K Jones DC Fiama LTD

  • Chiropractor
  • Joliet, IL
National Provider Identifier
1033227145
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038005424 Issued in IL
Legal business name
MARK K JONES DC FIAMA LTD
Practice address
1000 Essington Rd
Joliet, IL 60435-2841
Phone
(815) 729-9711
Fax
(815) 744-1681
NPI assigned
Aug 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Dr. Mark Kenneth Jones, DCNPI 1740460864
Title
President
Phone
(815) 729-9711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038005424 IL Primary

Addresses

Primary practice location

1000 Essington Rd
Joliet, IL 60435-2841

Mailing address

1000 Essington Rd
Joliet, IL 60435-2841
Phone (815) 729-9711

Other identifiers 1

IdentifierTypeStateIssuer
0009982026OtherILBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080724000885 IL Part B Supplier - Clinic/Group Practice 8123191061 Receives reassigned benefits from 1 practitioner
Practice locations: Crest Hill, IL

National Provider Directory

National Provider Directory

Locations

2200 Weber Rd
Ste 1
Crest Hill, IL 60403
Phone (815) 546-8842

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1033227145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ESSINGTON RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604352841",
            "telephone_number": "815-729-9711",
            "fax_number": "815-744-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ESSINGTON RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604352841",
            "telephone_number": "815-729-9711",
            "fax_number": "815-744-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK K JONES DC FIAMA LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-729-9711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038005424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0009982026",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.