Individual provider Active NPI

Mark A Thurston, DC

  • Chiropractor
  • Wilson, NC
National Provider Identifier
1154412369
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1614 Issued in NC
Practice address
806 Hines St W
Wilson, NC 27893-3022
Phone
(252) 237-2166
Fax
(252) 237-2167
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1614 NC Primary

Addresses

Primary practice location

806 Hines St W
Wilson, NC 27893-3022

Mailing address

806 Hines St W
Wilson, NC 27893-3022
Phone (252) 237-2166

Other identifiers 4

IdentifierTypeStateIssuer
890883RMedicaidNC
0186UOtherNCBCBS GROUP
0883ROtherNCBCBSNC
890186UMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111213000952 NC Practitioner - Chiropractic 2062687445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hooper-Thurston Elite Chiropractic Center IncGroup PAC ID 4688723901, 3 clinicians

Practice addresses (Care Compare)

806 Hines St W
Wilson, NC 27893-3022
Phone (252) 237-2166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1614NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Concussion Care Chiropractor CurrentSince Nov 17, 2019 Accepting new patients
Hooper-Thurston Elite Chiropractic Center Inc Chiropractor CurrentSince Aug 24, 1999 Accepting new patients

Locations

806 Hines St W
Wilson, NC 27893
Phone (252) 221-9039

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416268800000",
    "number": "1154412369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 HINES ST W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933022",
            "telephone_number": "252-237-2166",
            "fax_number": "252-237-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 HINES ST W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933022",
            "telephone_number": "252-237-2166",
            "fax_number": "252-237-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURSTON",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2014-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890883R",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "0186U",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "0883R",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890186U",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; 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.