Individual provider Active NPI

Mark Drew Natale, D.C.

  • Chiropractor
  • Mentor, OH
National Provider Identifier
1235147901
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3469 Issued in OH
Practice address
7655 Mentor Ave
Mentor, OH 44060-5409
Phone
(440) 953-3950
Fax
(440) 953-3953
NPI assigned
Aug 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3469 OH Primary

Addresses

Primary practice location

7655 Mentor Ave
Mentor, OH 44060-5409

Mailing address

7655 Mentor Ave
Mentor, OH 44060-5409
Phone (440) 953-3950

Other identifiers 1

IdentifierTypeStateIssuer
000000354535OtherOHANTHEM BLUE CROSS BLUE SH

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

LicenseStateTypeSpecialty
3469OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Chiropractic and Therapy Center Inc Chiropractor Past Accepting new patients
Physical Therapy Health Solutions LLC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235147901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7655 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605409",
            "telephone_number": "440-953-3950",
            "fax_number": "440-953-3953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7655 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605409",
            "telephone_number": "440-953-3950",
            "fax_number": "440-953-3953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATALE",
        "first_name": "MARK",
        "middle_name": "DREW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "000000354535",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.