NPIMap

Individual provider Active NPI

Mark Vonder Embse, DC

  • Chiropractor
  • Columbus, OH
National Provider Identifier
1184263238
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
04941 Issued in OH
Practice address
1579 E Dublin Granville Rd
Columbus, OH 43229-3307
Phone
(614) 888-8940
Fax
(614) 888-8531
NPI assigned
Jan 6, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 04941 OH Primary

Addresses

Primary practice location

1579 E Dublin Granville Rd
Columbus, OH 43229-3307

Mailing address

1579 E Dublin Granville Rd
Columbus, OH 43229-3307
Phone (614) 888-8940

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lpennington@ihcohio.org Direct
Direct Messaging Address drvonderembse@ihcohio.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National University of Arts and Sciences, Medical Department, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1201 S High St
Columbus, OH 43206-3400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04941OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Health Chiropractic North, LLC Chiropractor Past Accepting new patients
Inner Health Chiropractic North, LLC Chiropractor Past Accepting new patients
Inner Health Chiropractic North, LLC Chiropractor Past Accepting new patients

Organizations & group practices 3

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": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1184263238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1579 E DUBLIN GRANVILLE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293307",
            "telephone_number": "614-888-8940",
            "fax_number": "614-888-8531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1579 E DUBLIN GRANVILLE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293307",
            "telephone_number": "614-888-8940",
            "fax_number": "614-888-8531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONDER EMBSE",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "04941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lpennington@ihcohio.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Columbus",
            "address_1": "1201 S High St",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432063400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drvonderembse@ihcohio.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1579 E Dublin Granville Rd",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432293307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.