Active NPI
Mark A Prado, DC
- Chiropractor
- Ponca City, OK
National Provider Identifier
1508053331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2313
- Practice address
- 504 N 1St St
Ponca City, OK 74601-4145 - Phone
- (580) 718-0800
- Fax
- (580) 718-0803
- NPI assigned
- Sep 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 2313 | OK | Primary |
Addresses
Primary practice location
504 N 1St St
Ponca City, OK 74601-4145
Mailing address
504 N 1St St
Ponca City, OK 74601-4145
Phone (580) 718-0800
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2313 | OK | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190678400000",
"number": "1508053331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 N 1ST ST",
"city": "PONCA CITY",
"state": "OK",
"postal_code": "746014145",
"telephone_number": "580-718-0800",
"fax_number": "580-718-0803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 N 1ST ST",
"city": "PONCA CITY",
"state": "OK",
"postal_code": "746014145",
"telephone_number": "580-718-0800",
"fax_number": "580-718-0803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRADO",
"first_name": "MARK",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-25",
"last_updated": "2007-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OK",
"license": "2313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponca City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.