Active NPI
Mark A Zitnik, DC
- Rehabilitation Chiropractor
- Mesa, AZ
National Provider Identifier
1598836264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 7770
- Practice address
- 5233 E Southern Ave
Suite 104
Mesa, AZ 85206-3625 - Phone
- (480) 830-2882
- Fax
- (480) 830-2881
- NPI assigned
- Nov 13, 2006
- 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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 7770 | AZ | Primary |
Addresses
Primary practice location
5233 E Southern Ave
Suite 104
Mesa, AZ 85206-3625
Mailing address
5233 E Southern Ave
Ste 104
Mesa, AZ 85206-3628
Phone (480) 830-2882
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5233 E Southern Ave
Suite 103
Mesa, AZ 85206-3628
Phone (480) 830-2882
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7770 | AZ | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Southern Medical Group, LLC | Current | Accepting new patients | |
| Arizona Vascular Professionals, LLC | Past | Accepting new patients | |
| Mesa Chiropractic Corp | Rehabilitation | Past | Accepting new patients |
| Back to Back Chiropractic, Inc | Chiropractor | Past | Accepting new patients |
| Mark a Zitnik DC, LLC | Chiropractor | Past | Accepting new patients |
Locations
5233 E Southern Ave
Ste 103
Mesa, AZ 85206
Phone (480) 830-2882
5233 E Southern Ave
Ste 104
Mesa, AZ 85206
Phone (480) 567-5267
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Mesa, AZ
- NPI 1477011237
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1245013465
-
- Chiropractor
- Tucson, AZ
- NPI 1598887184
-
- Rehabilitation Chiropractor
- Mesa, AZ
- NPI 1588733091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683158400000",
"number": "1598836264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5233 E SOUTHERN AVE",
"address_2": "STE 104",
"city": "MESA",
"state": "AZ",
"postal_code": "852063628",
"telephone_number": "480-830-2882",
"fax_number": "480-830-2881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5233 E SOUTHERN AVE",
"address_2": "SUITE 104",
"city": "MESA",
"state": "AZ",
"postal_code": "852063625",
"telephone_number": "480-830-2882",
"fax_number": "480-830-2881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZITNIK",
"first_name": "MARK",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2023-05-04",
"certification_date": "2023-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "AZ",
"license": "7770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.