Organization Active NPI

Mark D Warner DC PLLC

  • Chiropractor
  • Toledo, OH
National Provider Identifier
1588855720
Registry record updated Aug 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2517 Issued in OH
Legal business name
MARK D WARNER DC PLLC
Practice address
4554 N Summit St
Toledo, OH 43611-2808
Phone
(419) 726-1352
Fax
(734) 726-5613
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2007

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

Authorized official

Name
Mark Dennis Warner, DC PLLCNPI 1609884659
Title
Doctor Owner
Phone
(419) 726-1352

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2517 OH Primary

Addresses

Primary practice location

4554 N Summit St
Toledo, OH 43611-2808

Mailing address

4554 N Summit St
Toledo, OH 43611-2808
Phone (419) 726-1352

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071109000181 OH Part B Supplier - Clinic/Group Practice 4486742467 Receives reassigned benefits from 1 practitioner
Practice locations: Toledo, OH

National Provider Directory

National Provider Directory

Locations

6588 Secor Rd
Ste A
Lambertville, MI 48144
Phone (419) 726-1352

4554 N Summit St
Toledo, OH 43611
Phone (419) 726-1352

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1588855720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4554 N SUMMIT ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436112808",
            "telephone_number": "419-726-1352",
            "fax_number": "734-726-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4554 N SUMMIT ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436112808",
            "telephone_number": "419-726-1352",
            "fax_number": "734-726-5613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK D WARNER DC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "419-726-1352",
        "authorized_official_credential": "DC PLLC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.