Active NPI
Mark Richard Varley, DC
- Chiropractor
- Sherwood, AR
National Provider Identifier
1598738239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 905763304
- Practice address
- 8214 Highway 107
Sherwood, AR 72120 - Phone
- (501) 834-7000
- Fax
- (501) 834-7200
- NPI assigned
- Feb 13, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 905763304 | AR | Primary |
Addresses
Primary practice location
8214 Highway 107
Sherwood, AR 72120
Mailing address
8214 Highway 107
Sherwood, AR 72120
Phone (501) 834-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 905763304 | Other | AR | LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 905763304 | AR | MD | Chiropractor |
| 1463 | AR | MD | Massage Therapist |
Organizations & group practices 1
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": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598738239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8214 HIGHWAY 107",
"city": "SHERWOOD",
"state": "AR",
"postal_code": "72120",
"telephone_number": "501-834-7000",
"fax_number": "501-834-7200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8214 HIGHWAY 107",
"city": "SHERWOOD",
"state": "AR",
"postal_code": "72120",
"telephone_number": "501-834-7000",
"fax_number": "501-834-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARLEY",
"first_name": "MARK",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AR",
"license": "905763304",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "905763304",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sherwood, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.