Mark B Thomas, D.C., D.A.B.C.I.

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

License

271279 Issued in OR

Practice address

500 E Whiteaker Ave
Cottage Grove, OR 97424-1648

Phone

(541) 942-5024

Fax

(541) 942-0598

NPI assigned

Jan 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Gurule Chiropractic

  • Clinic/Center
  • Cottage Grove, OR
  • NPI 1851082457
  NPD

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043362601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E WHITEAKER AVE",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974241648",
            "telephone_number": "541-942-5024",
            "fax_number": "541-942-0598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E WHITEAKER AVE",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974241648",
            "telephone_number": "541-942-5024",
            "fax_number": "541-942-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MARK",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.C., D.A.B.C.I.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "OR",
            "license": "271279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "067246002",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "067246000",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "231779",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• The Grove Dental
• David Thompson, LMFT
• Linda Thompson
• Three Clouds on Main Wellness Center & Spa
• Tim Landry Therapy LLC
• Timberline Dental, LLC

• Internist Chiropractor in Cottage Grove, OR
• Providers in Cottage Grove, OR by specialty
• Internist Chiropractor in Oregon

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.