Mark Wells DC PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01673 Issued in MD

Legal business name

MARK WELLS DC PA

Practice address

12200 Tech Rd Ste 102
Silver Spring, MD 20904-7871

Phone

(301) 572-1655

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark Steven Wells, DCNPI 1922124346

Title

President

Phone

(301) 572-1655

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Advanced Chiropractic of Beltsville Doing business as

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

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

• Mark Steven Wells, DC

  • Chiropractor
  • Silver Spring, MD
  • NPI 1922124346

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1104033323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 TECH RD STE 102",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047871",
            "telephone_number": "301-572-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 TECH RD STE 102",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047871",
            "telephone_number": "301-572-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK WELLS DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-572-1655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "01673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MD",
            "identifier": "KD46",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NATIONAL CAPITAL",
            "identifier": "F085 0001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Chiropractic of Beltsville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shirley Marjory Marin, BSN, RN
• Ndifor Marinus
• Mark H. Eig, M.D. LLC
• Mark Johnson, MD, PC
• Mark Sullivan LLC
• Marvin R. Mark, D.M.D
• Michelle Anne Markow, CCC-SLP
• Laura Marks
• Holly Markush, LMT
• John Robert Marler, M.D.

• Chiropractor in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.