Organization Active NPI

Mark B Mercer Chiropractic Corporation

  • Chiropractor
  • Ventura, CA
National Provider Identifier
1336218783
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC26447 Issued in CA
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

Updated by the provider on Oct 3, 2007

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
DC26447OtherCASTATE LICENSE
DC0264470OtherCABLUE SHIELD
DC26447OtherCABLUE CROSS

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.