NPIMap

Organization Active NPI

Mark a Goren P C

  • Chiropractor
  • Kensington, MD
National Provider Identifier
1104944990
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01123 Issued in MD
Legal business name
MARK A GOREN P C
Practice address
3706 Perry Avenue
Kensington, MD 20895-2118
Phone
(301) 949-0440
Fax
(301) 949-2913
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Dr. Mark Allen Goren, D.C.
Title
President
Phone
(301) 949-0440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 01123 MD Primary

Addresses

Primary practice location

3706 Perry Avenue
Kensington, MD 20895-2118

Mailing address

3706 Perry Avenue
Kensington, MD 20895-2118
Phone (301) 949-0440

National Provider Directory

National Provider Directory

Locations

3706 Perry Ave
Kensington, MD 20895
Phone (301) 949-0440

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1104944990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3706 PERRY AVENUE",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952118",
            "telephone_number": "301-949-0440",
            "fax_number": "301-949-2913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3706 PERRY AVENUE",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952118",
            "telephone_number": "301-949-0440",
            "fax_number": "301-949-2913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A GOREN P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "GOREN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-949-0440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "01123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kensington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.