Mark Anthony Niles, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4975 Issued in IA

Practice address

200 E 5TH St
Tipton, IA 52772-1851

Phone

(563) 886-6900

Fax

(563) 886-2380

NPI assigned

Oct 24, 2005

Sex

Male

Sole proprietor

Yes

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 IA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Niles Chiropractic Inc.

  • Chiropractor
  • Tipton, IA
  • NPI 1619227311
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336608000000",
    "number": "1528058484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 5TH ST",
            "city": "TIPTON",
            "state": "IA",
            "postal_code": "527721851",
            "telephone_number": "563-886-6900",
            "fax_number": "563-886-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 5TH ST",
            "city": "TIPTON",
            "state": "IA",
            "postal_code": "527721851",
            "telephone_number": "563-886-6900",
            "fax_number": "563-886-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILES",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2012-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "4975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207357",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kim Mente, RN
• Mercy Services Iowa City, Inc.
• Todd Miller
• Robyn L Nebergall, PAC
• Niles Chiropractic Inc.
• Jane Elizabeth Osborn, PHARM D, RPH
• Kellynne Oxley
• Prairie Hills at Tipton Operations, LLC
• Progressive Rehab Chiropractic, L.L.C.
• Progressive Rehab Chiropractic,LLC

• All providers in Tipton, IA
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.