Mark Theriault, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2346 Issued in NC

Practice address

1895 N Highway 16
Denver, NC 28037-8642

Phone

(704) 489-2273

Fax

(704) 489-2274

NPI assigned

Jul 28, 2005

Last updated

Mar 22, 2010By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Wellness Solutions Inc

  dba Family Chiropractic of Westport

  • Chiropractor
  • Denver, NC
  • NPI 1326135856
  NPD (past) Authorized official

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269216000000",
    "number": "1437159746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1375",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280372004",
            "telephone_number": "704-489-2273",
            "fax_number": "704-489-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 N HIGHWAY 16",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280378642",
            "telephone_number": "704-489-2273",
            "fax_number": "704-489-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THERIAULT",
        "first_name": "MARK",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2010-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Taylor
• Adrienne Lynn Thacker
• The Charlotte-Mecklenburg Hospital Authority (Atrium Health General Surgery Denver)
• The Charlotte-Mecklenburg Hospital Authority (CMC Orthopaedic Surgery - Denver)
• The Charlotte-Mecklenburg Hospital Authority (LHS Orthopaedics)
• Hunter Thomas, LCMHCA
• Todd L Hamilton DDS PA
• Kelly Lynn Tolcher, RNCPHP
• Totally Fit 4 Life PLLC
• Tri-County Pulmonary and Critical Care PLLC

• Chiropractor in Denver, NC
• Providers in Denver, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; 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.