Organization Active NPI

Mark Escobedo DC

  • Chiropractor
  • Columbia, SC
National Provider Identifier
1386866846
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2360 Issued in SC
Legal business name
MARK ESCOBEDO DC
Practice address
8311 Two Notch Rd
Columbia, SC 29223
Phone
(803) 788-2167
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2011

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

Authorized official

Name
Dr. Mark U Escobedo, D.C.NPI 1801835574
Title
Doctor President
Phone
(803) 788-2167

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 2360 SC Primary

Addresses

Primary practice location

8311 Two Notch Rd
Columbia, SC 29223

Mailing address

8311 Two Notch Rd
Columbia, SC 29223
Phone (803) 788-2167

Other identifiers 1

IdentifierTypeStateIssuer
CH2360MedicaidSC

Other names 1

  • Advanced Healthcare Solutions Doing business as

National Provider Directory

National Provider Directory

Locations

8311 Two Notch Rd
Columbia, SC 29223
Phone (803) 788-2167

Practitioners & affiliated clinicians

Practitioners 2

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307318400000",
    "number": "1386866846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8311 TWO NOTCH RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29223",
            "telephone_number": "803-788-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8311 TWO NOTCH RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29223",
            "telephone_number": "803-788-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK ESCOBEDO DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2011-06-06",
        "status": "A",
        "authorized_official_last_name": "ESCOBEDO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "DOCTOR PRESIDENT",
        "authorized_official_telephone_number": "803-788-2167",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2360",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Healthcare Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.