Robert Rich Mariner, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4125 Issued in KY

Practice address

160 Versailles Rd
Frankfort, KY 40601-3208

Phone

(502) 695-4455

Fax

(502) 695-0727

NPI assigned

Nov 24, 2006

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

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.

• Etheredge Chiropractic PA

  • Orthopedic Chiropractor
  • Fruitland Park, FL
  • NPI 1003905084
  NPD (past)

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063588994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 VERSAILLES RD",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406013208",
            "telephone_number": "502-695-4455",
            "fax_number": "502-695-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 VERSAILLES RD",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406013208",
            "telephone_number": "502-695-4455",
            "fax_number": "502-695-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINER",
        "first_name": "ROBERT",
        "middle_name": "RICH",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000049646",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neeraj Mahboob, MD
• Stephanie Mahoney, BA
• Lauren Maier, MSN, APRN, FNP-C
• Benjamin James Manning
• Mariner Chiropractic LLC
• Jill Marple, P.T.
• Natalie Jean Marshall, PT
• Virginia Naomi Marshall
• Debbie Jean Martin, RPH
• Timothy M Martin, CADC

• Chiropractor in Frankfort, KY
• Providers in Frankfort, KY by specialty
• Chiropractor in Kentucky

• 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.