Mark R Ditzenberger, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38010718 Issued in IL

Practice address

701 N. 7 Highway
Suite B
Blue Springs, MO 64014-2436

Phone

(816) 224-6200

Fax

(816) 224-2788

NPI assigned

Jun 29, 2006

Last updated

Dec 10, 2008By 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

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blue Springs Chiropractic Clinic PCGroup PAC ID 8426041526, 2 clinicians

Practice addresses (Care Compare)

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.

• Blue Springs Chiropractic Clinic PC

  dba Highway7 Chiropractic

  • Chiropractor
  • Blue Springs, MO
  • NPI 1528078474
  Medicare reassignment Care Compare group
• Aspire Rehab Center, LLC

  • Physical Therapist
  • Manhattan, KS
  • NPI 1699915132
  NPD (past)
• Aspire Rehab Center, LLC

  • Physical Therapist
  • Topeka, KS
  • NPI 1891802377

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228867200000",
    "number": "1508894692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N. 7 HIGHWAY",
            "address_2": "SUITE B",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142436",
            "telephone_number": "816-224-6200",
            "fax_number": "816-224-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N. 7 HIGHWAY",
            "address_2": "SUITE B",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142436",
            "telephone_number": "816-224-6200",
            "fax_number": "816-224-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITZENBERGER",
        "first_name": "MARK",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2008-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "38010718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "08220357",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sadonna Devaney, MASTER'S DEGREE
• David W Dickerson, MD
• Dickson Diveley Midwest Orthopaedic Clinic LLC
• Sachiko M Digusto, LPN
• John R Dillon, RPH
• Megan Louise Dixon, M.S., CCC-SLP
• Stephanie Dixson
• Nancy Dodge
• John Michael Doerries, PT DPT
• Don Brady, Psychologist LLC

• Chiropractor in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.