Active NPI
Mark R Yeager, D.C.
- Chiropractor
- Charlotte, NC
National Provider Identifier
1194734657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2353
- Practice address
- 100 N Tryon St Ste 165
Charlotte, NC 28202 - Phone
- (704) 333-0550
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2353 | NC | Primary |
Addresses
Primary practice location
100 N Tryon St Ste 165
Charlotte, NC 28202
Mailing address
100 N Tryon St
Ste 165
Charlotte, NC 28202-3264
Phone (704) 333-0550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2353 | NC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Care Medical Clinic | Past | Accepting new patients |
Organizations & group practices 1
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.
-
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- Salisbury, NC
- NPI 1609148998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589241600000",
"number": "1194734657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N TRYON ST",
"address_2": "STE 165",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282023264",
"telephone_number": "704-333-0550",
"fax_number": "704-333-0988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N TRYON ST STE 165",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28202",
"telephone_number": "704-333-0550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEAGER",
"first_name": "MARK",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2020-05-12",
"certification_date": "2020-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "2353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.