Active NPI
Mark Lane Nalley, D.C.
- Chiropractor
- Kissimmee, FL
National Provider Identifier
1578610523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH7583
- Practice address
- 709 W Vine St
Kissimmee, FL 34741-4188 - Phone
- (407) 846-2225
- Fax
- (407) 846-6277
- NPI assigned
- Jan 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | CH7583 | FL | Primary |
Addresses
Primary practice location
709 W Vine St
Kissimmee, FL 34741-4188
Mailing address
709 W Vine St
Kissimmee, FL 34741-4188
Phone (407) 846-2225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 381159000 | Medicaid | FL |
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
Interoperability endpoints
- mark.nalley.p1@direct.life.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265155200000",
"number": "1578610523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 W VINE ST",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347414188",
"telephone_number": "407-846-2225",
"fax_number": "407-846-6277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 W VINE ST",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347414188",
"telephone_number": "407-846-2225",
"fax_number": "407-846-6277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NALLEY",
"first_name": "MARK",
"middle_name": "LANE",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2010-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH7583",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "381159000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.