NPIMap

Organization Active NPI

Mark a. Myers, P.C.

  • Chiropractor
  • Wheaton, IL
National Provider Identifier
1366411357
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-009236 Issued in IL
Legal business name
MARK A. MYERS, P.C.
Practice address
2150 Manchester Rd Ste 100
Wheaton, IL 60187-2474
Phone
(630) 868-8480
Fax
(630) 868-8372
NPI assigned
Mar 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Authorized official

Name
Mark A Myers, D.C.NPI 1417926064
Title
Owner
Phone
(630) 868-8480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038-009236 IL Primary

Addresses

Primary practice location

2150 Manchester Rd Ste 100
Wheaton, IL 60187-2474

Mailing address

2150 Manchester Rd Ste 100
Wheaton, IL 60187-2474
Phone (630) 868-8480

Other identifiers 2

IdentifierTypeStateIssuer
02232122OtherILBCBSIL
P00126227OtherILRR MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040430001280 IL Part B Supplier - Clinic/Group Practice 1557359486 Receives reassigned benefits from 2 practitioners
Practice locations: Wheaton, IL

National Provider Directory

National Provider Directory

Locations

2150 Manchester Rd
Ste 100
Wheaton, IL 60187
Phone (630) 868-8480

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1366411357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 MANCHESTER RD STE 100",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601872474",
            "telephone_number": "630-868-8480",
            "fax_number": "630-868-8372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 MANCHESTER RD STE 100",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601872474",
            "telephone_number": "630-868-8480",
            "fax_number": "630-868-8372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A. MYERS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-868-8480",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSIL",
            "identifier": "02232122",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00126227",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.