Mark Dvorak, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6821 Issued in MN

Practice address

7475 Tamarack Rd Ste 120
Woodbury, MN 55125-5511

Phone

(952) 200-1808

NPI assigned

Mar 1, 2021

Last updated

Mar 1, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mindset Chiropractic

  • Chiropractor
  • Woodbury, MN
  • NPI 1245824481
  Medicare reassignment NPD Authorized official
• St Mary's Regional Health Center

  dba Essentia Health Menahga Clinic

  • Rural Health Clinic/Center
  • Menahga, MN
  • NPI 1467798322
  NPD (past)

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1427642669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7475 TAMARACK RD STE 120",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551255511",
            "telephone_number": "651-348-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7475 TAMARACK RD STE 120",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551255511",
            "telephone_number": "952-200-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DVORAK",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Curtis Roy Dunn, D.D.S.
• Gregory T Dunn, MD
• Kjerstin G Durie, PA-C
• Lanae Leah Dushaw
• Kaitlyn Lorraine Dvorak
• Payton Rae Dvorak
• Douglas Dworak, M.D.
• Sheila Gerette Dwyer, LMFT
• Stephanie Dykema
• Steven Dynda

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.