Active NPI
Mark Janes Pitcher, DC
- Chiropractor
- Edwards, CO
National Provider Identifier
1518118751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5603
- Practice address
- 0105 Edwards Village Blvd A203
Edwards, CO 81632-2637 - Phone
- (970) 926-4600
- Fax
- (970) 926-4602
- NPI assigned
- Oct 7, 2008
- Sex
- Male
- Sole proprietor
- No
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 | 5603 | CO | Primary |
Addresses
Primary practice location
0105 Edwards Village Blvd A203
Edwards, CO 81632-2637
Mailing address
PO Box 2637
0105 Edwards Village Blvd A203
Edwards, CO 81632-2637
Phone (970) 926-4600
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5603 | CO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395878400000",
"number": "1518118751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2637",
"address_2": "0105 EDWARDS VILLAGE BLVD A203",
"city": "EDWARDS",
"state": "CO",
"postal_code": "816322637",
"telephone_number": "970-926-4600",
"fax_number": "970-926-4602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "0105 EDWARDS VILLAGE BLVD A203",
"city": "EDWARDS",
"state": "CO",
"postal_code": "816322637",
"telephone_number": "970-926-4600",
"fax_number": "970-926-4602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITCHER",
"first_name": "MARK",
"middle_name": "JANES",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-07",
"last_updated": "2014-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "5603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edwards, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.