Mark Wayne Ford Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4081 Issued in TX

Practice address

701 N Price Rd
Pampa, TX 79065-5126

Phone

(806) 665-7261

Fax

(806) 665-0537

NPI assigned

Oct 15, 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 3

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1160870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1245320555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 HOLLY LN",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "790654018",
            "telephone_number": "806-440-2362",
            "fax_number": "806-665-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N PRICE RD",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "790655126",
            "telephone_number": "806-665-7261",
            "fax_number": "806-665-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "MARK",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-15",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1245320555",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID#",
            "identifier": "603479",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE #",
            "identifier": "8F8622",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fannin County Hospital Authority
• Karla Fernandez, FNP-C
• Francisco Fiallo, M.D.
• Adrianna Estell Fields, M.S. CCC-SLP
• Michael NMN Follis, CRNA
• Samantha Ashley Ford, D.C.
• Serenity Ford, CNC, CPT
• Mayra Louise Freeman-Ladd, MD
• Frogge Enterprises Inc
• Diana Fuller

• All providers in Pampa, TX
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.