Active NPI
Mark Thomas Engel, D.C.
- Chiropractor
- Perrysburg, OH
National Provider Identifier
1063697134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2036
- Practice address
- 26597 N. Dixie Hwy
Ste. 159
Perrysburg, OH 43551-1764 - Phone
- (419) 874-9744
- NPI assigned
- Jan 8, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2036 | OH | Primary |
Addresses
Primary practice location
26597 N. Dixie Hwy
Ste. 159
Perrysburg, OH 43551-1764
Mailing address
26597 Dixie Hwy
Ste. 159
Perrysburg, OH 43551-1764
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0130905 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120420000209 | OH | Practitioner - Chiropractic | 5597926584 |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
26597 N Dixie Hwy 159
Perrysburg, OH 43551-1706
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683158400000",
"number": "1063697134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26597 DIXIE HWY",
"address_2": "STE. 159",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435511764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26597 N. DIXIE HWY",
"address_2": "STE. 159",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435511764",
"telephone_number": "419-874-9744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGEL",
"first_name": "MARK",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-08",
"last_updated": "2023-05-04",
"certification_date": "2023-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "2036",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0130905",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Perrysburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.