Individual provider Active NPI

Mark C Mahand

  • Chiropractor
  • Rusk, TX
National Provider Identifier
1548795198
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4845 Issued in TX
Practice address
244 Johnson Dr
502 N Barron
Rusk, TX 75785-1902
Phone
(903) 284-1377
NPI assigned
Apr 20, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4845 TX Primary

Addresses

Primary practice location

244 Johnson Dr
502 N Barron
Rusk, TX 75785-1902

Mailing address

244 Johnson Dr
502 N Barron
Rusk, TX 75785-1902
Phone (903) 284-1377

Other names 1

  • Mrs. Antonia S Mahand Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4845TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1548795198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 JOHNSON DR",
            "address_2": "502 N BARRON",
            "city": "RUSK",
            "state": "TX",
            "postal_code": "757851902",
            "telephone_number": "903-284-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 JOHNSON DR",
            "address_2": "502 N BARRON",
            "city": "RUSK",
            "state": "TX",
            "postal_code": "757851902",
            "telephone_number": "903-284-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAND",
        "first_name": "MARK",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-20",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTONIA",
            "last_name": "MAHAND",
            "middle_name": "S",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rusk, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.