Mark C. Reps, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1670 Issued in MN

Practice address

16470 5TH St N
Lakeland, MN 55043-9548

Phone

(651) 436-6877

NPI assigned

Nov 28, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1427031152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16470 5TH ST N",
            "city": "LAKELAND",
            "state": "MN",
            "postal_code": "550439548",
            "telephone_number": "651-436-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16470 5TH ST N",
            "city": "LAKELAND",
            "state": "MN",
            "postal_code": "550439548",
            "telephone_number": "651-436-6877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPS",
        "first_name": "MARK",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "1670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC CONTRACTING PROV. ID",
            "identifier": "01B53RE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS INDIV NUMBER",
            "identifier": "01B54RE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "44-53979",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northland Dental Partners, PLLC (Metro Dentalcare Lakeland)
• Catherine C Olson, LICSW
• Kennedy Oreilly
• Suzanne Kay Oswald
• Daniel D Porter, D.C.
• Rosann M. Froehle DC LLC (Lakeland Family Chiropractic and Acupunct)
• St Croix Hearing LLC
• St Croix Psychiatric Services, PLLC
• John Edward Sweeney, DDS

• Chiropractor in Lakeland, MN
• Providers in Lakeland, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.