Active NPI
Mark Andrew Herrmann, DC
- Chiropractor
- Lawrence, KS
National Provider Identifier
1467551978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01-04252
- Practice address
- 3320 Clinton Parkway CT Ste 200
Lawrence, KS 66047-2650 - Phone
- (785) 843-1188
- Fax
- (785) 843-1166
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01-04252 | KS | Primary |
Addresses
Primary practice location
3320 Clinton Parkway CT Ste 200
Lawrence, KS 66047-2650
Mailing address
3320 Clinton Parkway CT Ste 200
Lawrence, KS 66047-2650
Phone (785) 843-1188
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01-04252 | Other | KS | STATE OF KANSAS |
| CM00101580 | Other | KS | NATIONAL CHIROPRACTIC MUT |
| 017534 | Other | KS | MEDICARE GROUP PTAN |
| 062196 | Other | KS | MEDICARE PTAN |
| CE006571 | Other | MO | STATE OF MISSOURI |
| 2855 | Other | OH | STATE OF OHIO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01-04252 | KS | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Health Center | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Lawrence, KS
- NPI 1801931530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248393600000",
"number": "1467551978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3320 CLINTON PARKWAY CT STE 200",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660472650",
"telephone_number": "785-843-1188",
"fax_number": "785-843-1166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3320 CLINTON PARKWAY CT STE 200",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660472650",
"telephone_number": "785-843-1188",
"fax_number": "785-843-1166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRMANN",
"first_name": "MARK",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2009-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "01-04252",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF KANSAS",
"identifier": "01-04252",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL CHIROPRACTIC MUT",
"identifier": "CM00101580",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "017534",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "062196",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MISSOURI",
"identifier": "CE006571",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF OHIO",
"identifier": "2855",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.