Active NPI
Mark Richard Buckles, D.C.
- Chiropractor
- Florence, KY
National Provider Identifier
1295805497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4937
- Practice address
- 7211 US 42
Florence, KY 41042-1901 - Phone
- (859) 817-0817
- Fax
- (859) 817-1329
- NPI assigned
- Nov 8, 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 | 4937 | KY | Primary |
Addresses
Primary practice location
7211 US 42
Florence, KY 41042-1901
Mailing address
7211 US 42
Florence, KY 41042-1901
Phone (859) 817-0817
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2389204 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7211 US Hwy 42
Florence, KY 41042-1901
Phone (859) 817-0817
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4937 | KY | MD | Chiropractor |
| 2574 | OH | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M.M.S.C.;Inc | Chiropractor | Current | Accepting new patients |
Locations
7211 US Highway 42
Florence, KY 41042
Phone (606) 371-1153
5108 Crookshank Rd
Cincinnati, OH 45238
Phone (513) 451-1726
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.
-
- Chiropractor
- Florence, KY
- NPI 1831411594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266364800000",
"number": "1295805497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7211 US 42",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410421901",
"telephone_number": "859-817-0817",
"fax_number": "859-817-1329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7211 US 42",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410421901",
"telephone_number": "859-817-0817",
"fax_number": "859-817-1329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKLES",
"first_name": "MARK",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2010-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "4937",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2389204",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.