Gold Coast Chiropractic & Rehab P a

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GOLD COAST CHIROPRACTIC & REHAB P A

Practice address

4210 Del Prado Blvd S
Cape Coral, FL 33904-7166

Phone

(239) 542-7660

NPI assigned

Jan 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mark Marien, DCNPI 1265431761

Title

Owner

Phone

(239) 542-7660

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Creston Marien, DC

  • Chiropractor
  • Cornelius, NC
  • NPI 1265431761
  NPD (past) Authorized official

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1497930382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047166",
            "telephone_number": "239-542-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD COAST CHIROPRACTIC & REHAB P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "MARIEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-542-7660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILRAOD MEDICARE PART B GROUP NUMBER",
            "identifier": "DE1877",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PART B PTAN",
            "identifier": "P00277193",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glucotrition
• Analisa Godar
• Aleiha Godfrey, R.N.
• Michael J. Goeden, M.D.
• Shane Goetz, PTA
• Gold Medical Supply Inc
• Golden Care Assisted Living LLC
• Golden Heart Cardiology LLC
• Golden Phoenix Mental Health LLC
• Golden Years Enterprises LLC

• Clinic/Center in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.