Individual provider Active NPI

Mark L. Bushee, DC

  • Chiropractor
  • Fishkill, NY
National Provider Identifier
1467463232
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008928-1 Issued in NY
Practice address
1401 Route 52 Ste 100
Fishkill, NY 12524-3255
Phone
(845) 896-3817
Fax
(845) 896-3819
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X X008928-1 NY
Chiropractor 111N00000X X008928-1 NY Primary

Addresses

Primary practice location

1401 Route 52 Ste 100
Fishkill, NY 12524-3255

Mailing address

1401 Route 52 Ste 100
Fishkill, NY 12524-3255
Phone (845) 896-3817

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110103000281 NY Practitioner - Chiropractic 3274721477 Practice locations: Fishkill, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1399 Route 52
Suite 105
Fishkill, NY 12524-3250
Phone (845) 896-3817

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X008928-1NYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1467463232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 ROUTE 52 STE 100",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125243255",
            "telephone_number": "845-896-3817",
            "fax_number": "845-896-3819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 ROUTE 52 STE 100",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125243255",
            "telephone_number": "845-896-3817",
            "fax_number": "845-896-3819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSHEE",
        "first_name": "MARK",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "NY",
            "license": "X008928-1",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008928-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishkill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.