Mark D. Wolfman, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009952 Issued in MI

Practice address

4020 Del Mar Dr SW
Ste 100
Wyoming, MI 49418

Phone

(616) 214-3111

NPI assigned

Apr 27, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2012

Medicare assignment

May accept Medicare assignment

Group practices

Rivertown Family Chiropractic LLC 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Rivertown Family Chiropractic LLC

  • Chiropractor
  • Wyoming, MI
  • NPI 1447671276
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1043578065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 DEL MAR DR SW",
            "address_2": "STE 100",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "49418",
            "telephone_number": "616-214-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 DEL MAR DR SW",
            "address_2": "STE 100",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "49418",
            "telephone_number": "616-214-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFMAN",
        "first_name": "MARK",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-27",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Richelle Wojcik, LMSW
• Ryan Siegfried Wolf, PHARMD
• Michael Gary Wolfe, DPM
• Rebecca Wolfe, MD
• Alyssa Wolffis
• Wolverine Dermatology, PC
• Allison Wood, MA
• Jacqueline Wood
• Woodward Detroit CVS LLC
• Woodward Detroit CVS, L.L.C.

• All providers in Wyoming, MI
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.