Individual provider Active NPI

Mark Allen Hampton, D.C.

  • Chiropractor
  • Williamsport, PA
National Provider Identifier
1528072725
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-004453L Issued in PA
Practice address
1111 E 3Rd St
Williamsport, PA 17701-5411
Phone
(570) 322-5500
NPI assigned
Jul 27, 2006
Last updated
Aug 20, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-004453L PA Primary
Other Technician 247200000X

Addresses

Primary practice location

1111 E 3Rd St
Williamsport, PA 17701-5411

Mailing address

1111 E 3Rd St
Williamsport, PA 17701-5411
Phone (570) 322-5500

Other identifiers 1

IdentifierTypeStateIssuer
0015463240004MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061016000452 PA Practitioner - Chiropractic 4385640200 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Williamsport Wellness Center Inc.Group PAC ID 9335535905, 5 clinicians
Liberty Med Associates LLCGroup PAC ID 7416234075, 11 clinicians

Practice addresses (Care Compare)

1355 Four Mile Dr
Williamsport, PA 17701-1932
Phone (570) 322-1776

33 W 3Rd St
FL 2
Williamsport, PA 17701-6523
Phone (570) 429-3501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-004453LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Williamsport Wellness Center Inc. Chiropractor CurrentSince Jan 1, 2024 Accepting new patients
Liberty Med Associates LLC CurrentSince May 1, 2025 Accepting new patients
Lcdocs LLC CurrentSince Dec 30, 2023 Accepting new patients
Jenifer L. Dewald, DC PC Chiropractor CurrentSince Jan 1, 2024 Accepting new patients
Hamptons Chiropractic Inc Chiropractor Past Accepting new patients

Locations

66 W Gilbert St
Ste 100
Tinton Falls, NJ 07701
Phone (201) 795-8637

1355 Four Mile Dr
Williamsport, PA 17701
Phone (570) 322-1776

1355 Four Mile Dr
Ste 1
Williamsport, PA 17701

33 W 3rd St
Fl 2
Williamsport, PA 17701
Phone (570) 429-3501

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376956800000",
    "number": "1528072725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E 3RD ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177015411",
            "telephone_number": "570-322-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E 3RD ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177015411",
            "telephone_number": "570-322-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMPTON",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2013-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-004453L",
            "primary": true
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015463240004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.