Organization Active NPI

Marandino Schargen Chiropractic, P.a.

  • Chiropractor
  • Ormond Beach, FL
National Provider Identifier
1154500924
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8509 Issued in FL
Legal business name
MARANDINO SCHARGEN CHIROPRACTIC, P.A.
Practice address
301 Kenilworth Ave
Suite a
Ormond Beach, FL 32174-4545
Phone
(386) 673-2424
Fax
(386) 673-8222
NPI assigned
Oct 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Authorized official

Name
Marcie Marandino, D.C.NPI 1184841777
Title
Co-Owner
Phone
(386) 673-2424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X CH8509 FL Primary

Addresses

Primary practice location

301 Kenilworth Ave
Suite a
Ormond Beach, FL 32174-4545

Mailing address

301 Kenilworth Ave
Suite a
Ormond Beach, FL 32174-4545
Phone (386) 673-2424

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040713001340 FL Part B Supplier - Clinic/Group Practice 8325026453 Receives reassigned benefits from 2 practitioners
Practice locations: Daytona Beach, FL; Ormond Beach, FL

National Provider Directory

National Provider Directory

Locations

340 S Beach St
Ste 104
Daytona Beach, FL 32114
Phone (386) 299-0074

301 Kenilworth Ave
#A
Ormond Beach, FL 32174
Phone (386) 299-0361

Practitioners & affiliated clinicians

Practitioners 2

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": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1154500924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 KENILWORTH AVE",
            "address_2": "SUITE A",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321744545",
            "telephone_number": "386-673-2424",
            "fax_number": "386-673-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 KENILWORTH AVE",
            "address_2": "SUITE A",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321744545",
            "telephone_number": "386-673-2424",
            "fax_number": "386-673-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARANDINO SCHARGEN CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "MARANDINO",
        "authorized_official_first_name": "MARCIE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "386-673-2424",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.