Individual provider Active NPI

Mark D Casalino, DC

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1386646933
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
AZ4317 Issued in AZ
Practice address
10255 N 35TH Ave
Suite 100
Phoenix, AZ 85051-1361
Phone
(602) 993-9933
Fax
(602) 942-5032
NPI assigned
Aug 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X AZ4317 AZ Primary

Addresses

Primary practice location

10255 N 35TH Ave
Suite 100
Phoenix, AZ 85051-1361

Mailing address

10255 N 35TH Ave
Suite 100
Phoenix, AZ 85051-1361
Phone (602) 993-9933

Other identifiers 2

IdentifierTypeStateIssuer
AZ0232670OtherAZBC/BS
1Z3019OtherAZHEALTHNET

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250522002245 CO Practitioner - Chiropractic 7113944786 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott Family ChiropracticGroup PAC ID 8325015407, 3 clinicians

Practice addresses (Care Compare)

1491 Denver Ave
Unit 101
Loveland, CO 80538-5228
Phone (970) 663-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AZ4317AZMDChiropractor
4317AZMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scott Family Chiropractic Chiropractor CurrentSince May 20, 2025 Accepting new patients
Colorado Integrated Care Network LLC CurrentSince May 23, 2025 Accepting new patients
Boulder County Primary Care and Rehab Past Accepting new patients

Locations

1823 Ford St
Ste 35
Golden, CO 80401
Phone (303) 641-2254

1491 Denver Ave
Unit 101
Loveland, CO 80538
Phone (970) 663-2225

Interoperability endpoints

  • Direct secure messaging: mark.casalino.2@29676.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1386646933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10255 N 35TH AVE",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850511361",
            "telephone_number": "602-993-9933",
            "fax_number": "602-942-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10255 N 35TH AVE",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850511361",
            "telephone_number": "602-993-9933",
            "fax_number": "602-942-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASALINO",
        "first_name": "MARK",
        "middle_name": "D",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "AZ4317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "AZ0232670",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1Z3019",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.