Individual provider Active NPI

Mark Saletnik, D.C.

  • Chiropractor
  • Raleigh, NC
National Provider Identifier
1356617963
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3170 Issued in NC
Practice address
1620 Martin Luther King Jr Blvd
Suite 106
Raleigh, NC 27610-3479
Phone
(919) 250-3330
Fax
(919) 250-9995
NPI assigned
Mar 28, 2012
Last updated
Mar 28, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3170 NC Primary

Addresses

Primary practice location

1620 Martin Luther King Jr Blvd
Suite 106
Raleigh, NC 27610-3479

Mailing address

1620 Martin Luther King Jr Blvd
Suite 106
Raleigh, NC 27610

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191126001141 NC Practitioner - Chiropractic 6507765492 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Active Living Chiropractic IncGroup PAC ID 5698804300, 5 clinicians

Practice addresses (Care Compare)

704 E Arlington Blvd
Greenville, NC 27858-5809
Phone (252) 756-6111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wirth Chiropractic PA Chiropractor CurrentSince Jan 1, 2023 Accepting new patients
Active Living Chiropractic Inc Chiropractor CurrentSince Oct 21, 2019 Accepting new patients
Raleigh Accident & Injury Center Chiropractor PastSince Jan 3, 2017 Accepting new patients

Locations

2100 W Arlington Blvd
Greenville, NC 27834
Phone (252) 756-6111

704 E Arlington Blvd
Greenville, NC 27858
Phone (252) 756-6111

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1356617963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 106",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 106",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276103479",
            "telephone_number": "919-250-3330",
            "fax_number": "919-250-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALETNIK",
        "first_name": "MARK",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.