Mark Scanlan Sack, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2463 Issued in NC

Practice address

228B Morganton Blvd SW
Lenoir, NC 28645-5219

Phone

(828) 754-8181

Fax

(828) 754-8140

NPI assigned

Jun 27, 2005

Reactivated

Mar 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chiropractic Rehabilitation Accident and Injury Center, PLLC

  • Chiropractor
  • Lenoir, NC
  • NPI 1063587657
  NPD (past) Authorized official

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508862251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228B MORGANTON BLVD SW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455219",
            "telephone_number": "828-754-8181",
            "fax_number": "828-754-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228B MORGANTON BLVD SW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455219",
            "telephone_number": "828-754-8181",
            "fax_number": "828-754-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACK",
        "first_name": "MARK",
        "middle_name": "SCANLAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2007-07-08",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890828Q",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rose Hill Family Care Home
• Christina M Rosen, EDD LCAS, LCMHC, NCC
• Amber Roten
• Janis F Rowe, FNP-C
• Joshua Rubisch, DMD
• Natalie Penny Saunders, PA-C
• Melissa L Saylor, LCSWA, HS-BCP
• Joy Brown Schrag
• Stephen Carlisle Scott, MD
• Tamara Coffey Scruggs, COTA/L

• Chiropractor in Lenoir, NC
• Providers in Lenoir, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.