Individual provider Active NPI

John K Marino, D.C.

  • Chiropractor
  • Doylestown, PA
National Provider Identifier
1427083955
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC002942L Issued in PA
Practice address
102 Progress Dr
Suite 202
Doylestown, PA 18901-2516
Phone
(215) 345-8141
Fax
(215) 345-8173
NPI assigned
Jul 12, 2006
Last updated
Sep 10, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC002942L PA Primary

Addresses

Primary practice location

102 Progress Dr
Suite 202
Doylestown, PA 18901-2516

Mailing address

102 Progress Dr
Suite 202
Doylestown, PA 18901-2516
Phone (215) 345-8141

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040108000353 PA Practitioner - Chiropractic 9638078611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JKM Health LLCGroup PAC ID 6901997485, 6 clinicians

Practice addresses (Care Compare)

701 Hyde Park
Doylestown, PA 18902-6612
Phone (215) 345-8141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC002942LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
JKM Health LLC Chiropractor CurrentSince Jun 1, 2007 Accepting new patients
Gibbs Chiropractic & Wellness, LLC Chiropractor Past Accepting new patients

Locations

102 Progress Dr
Ste 202
Doylestown, PA 18901
Phone (215) 230-5296

701 Hyde Park
Doylestown, PA 18902
Phone (215) 345-8141

Organizations & group practices 2

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284076800000",
    "number": "1427083955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 PROGRESS DR",
            "address_2": "SUITE 202",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012516",
            "telephone_number": "215-345-8141",
            "fax_number": "215-345-8173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PROGRESS DR",
            "address_2": "SUITE 202",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012516",
            "telephone_number": "215-345-8141",
            "fax_number": "215-345-8173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO",
        "first_name": "JOHN",
        "middle_name": "K",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2010-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC002942L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; 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.