Mark Anthony Debenedetto, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC004647-L Issued in PA

Practice address

10 Weatherby Way
Mifflintown, PA 17059-8901

Phone

(717) 436-9017

NPI assigned

Nov 1, 2006

Last updated

Aug 21, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mifflintown Family Chiropractic, PC

  • Chiropractor
  • Mifflintown, PA
  • NPI 1568504090
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1225115710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 SOMAR DR",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "170449238",
            "telephone_number": "717-242-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WEATHERBY WAY",
            "city": "MIFFLINTOWN",
            "state": "PA",
            "postal_code": "170598901",
            "telephone_number": "717-436-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBENEDETTO",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC004647-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Traci Marie Brubaker, MPT
• Kiley Dayne Bubb
• Christina Marie Campagna, MSW, LSW
• Central Juniata Emergency Medical Service
• Margaret Cooper, LPC
• Matthew Debenedetto, DC
• Tami Joelle Debenedetto, DC
• Mandeep Dhilon, MD
• Envision Eye Care
• Kenneth Lee Erdman Jr., DO

• Chiropractor in Mifflintown, PA
• Providers in Mifflintown, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.