NPIMap

Organization Active NPI

Mark

  • Chiropractor
  • Fort Collins, CO
National Provider Identifier
1184801078
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MARK
Practice address
4745 Boardwalk Dr
Unit C1
Fort Collins, CO 80525-3768
Phone
(970) 207-4066
Fax
(970) 225-1392
NPI assigned
Jan 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Authorized official

Name
Mark Schutte, DC LLC
Title
Owner
Phone
(970) 207-4066

Specialties & licenses 1

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

Addresses

Primary practice location

4745 Boardwalk Dr
Unit C1
Fort Collins, CO 80525-3768

Mailing address

4745 Boardwalk Dr
Unit C
Fort Collins, CO 80525-3768
Phone (970) 207-4066

National Provider Directory

National Provider Directory

Locations

4745 Boardwalk Dr
Unit C
Fort Collins, CO 80525

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1184801078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4745 BOARDWALK DR",
            "address_2": "UNIT C",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253768",
            "telephone_number": "970-207-4066",
            "fax_number": "970-225-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 BOARDWALK DR",
            "address_2": "UNIT C1",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253768",
            "telephone_number": "970-207-4066",
            "fax_number": "970-225-1392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "SCHUTTE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-207-4066",
        "authorized_official_credential": "DC LLC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.