Henry Charles Marquardt, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

748 Issued in WY

Practice address

25 S Gros Ventre
Jackson, WY 83001

Phone

(913) 530-2889

Fax

(307) 200-6639

NPI assigned

Jun 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Henry C Marquardt DC LLC

  dba Integrative Chiropractic

  • Chiropractor
  • Overland Park, KS
  • NPI 1255488516
  NPD (past) Authorized official

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1508802695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4975",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830014975",
            "telephone_number": "913-530-2889",
            "fax_number": "307-200-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S GROS VENTRE",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "83001",
            "telephone_number": "913-530-2889",
            "fax_number": "307-200-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUARDT",
        "first_name": "HENRY",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-04793",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WY",
            "license": "748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "007492452",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD PIN",
            "identifier": "32234012",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Drechsel Macphie, DPT
• Hollis Magee, M.S., CCC-SLP
• Brianna Mahoney
• Rebecca Manchester, RBT
• Mariposa Mental Health, LLC
• Jared Travis Martin
• Elizabeth Martinez, MSW, LCSW
• Jenna Marton
• Courtney H Marvin, LCSW
• Mary C Neal, MD PC (Spine Care of Jackson Hole)

• Chiropractor in Jackson, WY
• Providers in Jackson, WY by specialty
• Chiropractor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.