Active NPI
Mark B Mercer Chiropractic Corporation
- Chiropractor
- Ventura, CA
National Provider Identifier
1336218783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC26447
- Legal business name
- MARK B MERCER CHIROPRACTIC CORPORATION
- Practice address
- 3585 Telegraph Rd Ste H
Ventura, CA 93003-3493 - Phone
- (805) 650-9927
- Fax
- (805) 644-3430
- NPI assigned
- Nov 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark B Mercer, DC
- Title
- Owner
- Phone
- (805) 650-9927
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC26447 | CA | Primary |
Addresses
Primary practice location
3585 Telegraph Rd Ste H
Ventura, CA 93003-3493
Mailing address
3585 Telegraph Rd Ste H
Ventura, CA 93003-3493
Phone (805) 650-9927
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC26447 | Other | CA | STATE LICENSE |
| DC0264470 | Other | CA | BLUE SHIELD |
| DC26447 | Other | CA | BLUE CROSS |
National Provider Directory
National Provider DirectoryLocations
3585 Telegraph Rd
Ste H
Ventura, CA 93003
Phone (805) 650-9927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191369600000",
"number": "1336218783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3585 TELEGRAPH RD STE H",
"city": "VENTURA",
"state": "CA",
"postal_code": "930033493",
"telephone_number": "805-650-9927",
"fax_number": "805-644-3430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3585 TELEGRAPH RD STE H",
"city": "VENTURA",
"state": "CA",
"postal_code": "930033493",
"telephone_number": "805-650-9927",
"fax_number": "805-644-3430"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK B MERCER CHIROPRACTIC CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-07",
"last_updated": "2007-10-03",
"status": "A",
"authorized_official_last_name": "MERCER",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "805-650-9927",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "DC26447",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "DC26447",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "DC0264470",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "DC26447",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.