Individual provider Active NPI

Mark Cirks, DC

  • Chiropractor
  • Humboldt, IA
National Provider Identifier
1336488170
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007613 Issued in IA
Practice address
1201 6TH Ave N
Humboldt, IA 50548-1102
Phone
(515) 368-0086
NPI assigned
Feb 13, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007613 IA Primary

Addresses

Primary practice location

1201 6TH Ave N
Humboldt, IA 50548-1102

Mailing address

1146 190TH St
Bradgate, IA 50520-8710
Phone (515) 368-0086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130712000612 IA Practitioner - Chiropractic 6608016761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Humboldt Spine and Rehab PCGroup PAC ID 5799925855, 2 clinicians

Practice addresses (Care Compare)

702 13TH St N
Humboldt, IA 50548-1122
Phone (515) 332-7990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007613IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Humboldt Spine & Rehab PC CurrentSince Feb 28, 2013 Accepting new patients

Locations

1201 6th Ave N
Humboldt, IA 50548
Phone (515) 332-7990

702 13th St N
Humboldt, IA 50548
Phone (515) 332-7990

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.

NPI Registry JSON

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

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1336488170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1146 190TH ST",
            "city": "BRADGATE",
            "state": "IA",
            "postal_code": "505208710",
            "telephone_number": "515-368-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 6TH AVE N",
            "city": "HUMBOLDT",
            "state": "IA",
            "postal_code": "505481102",
            "telephone_number": "515-368-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIRKS",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-13",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humboldt, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.

Verify at the official NPI Registry.