Mark M Mullins, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

271654 Issued in OR

Practice address

28 NE 12TH St
Madras, OR 97741

Phone

(541) 475-6171

Fax

(541) 475-6172

NPI assigned

Jun 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 1981

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Pam Cline MSW-LCSW Supportive Counseling Center

  • Preferred Provider Organization
  • Madras, OR
  • NPI 1821285230
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215966759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 NE 12TH ST",
            "city": "MADRAS",
            "state": "OR",
            "postal_code": "97741",
            "telephone_number": "541-475-6171",
            "fax_number": "541-475-6172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 NE 12TH ST",
            "city": "MADRAS",
            "state": "OR",
            "postal_code": "97741",
            "telephone_number": "541-475-6171",
            "fax_number": "541-475-6172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "MARK",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "271654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269480",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mosaic Medical
• Margaret Granby Moschetti, LMT
• Mountain View Hospital
• Mountain View Hospital District
• Aubrey Mullins
• Eileen Myers, CADC
• Nancy M Burgess RN MSN Anp-C PC
• Stefanie Amie Naranjo
• Navajo Lake, LLC
• Sabrina Navarro

• Chiropractor in Madras, OR
• Providers in Madras, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.