Mark R Felts, D.C

Key facts

NPI

1356560072

Entity type

Individual (NPI type 1)

Primary specialty

Chiropractor 111N00000X

License

CH7071 (FL)

Practice address

5800 Overseas Hwy
Suite 33
Marathon, FL 33050-2735

Phone

(305) 743-0039

Fax

(305) 743-0472

NPI assigned

Apr 24, 2007

Sex

Male

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 10, 2014.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1356560072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 OVERSEAS HWY",
            "address_2": "SUITE 33",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330502735",
            "telephone_number": "305-743-0039",
            "fax_number": "305-743-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 OVERSEAS HWY",
            "address_2": "SUITE 33",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330502735",
            "telephone_number": "305-743-0039",
            "fax_number": "305-743-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELTS",
        "first_name": "MARK",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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