Individual provider Active NPI

Mark Allan Ahrens, D.C.

  • Chiropractor
  • Flower Mound, TX
National Provider Identifier
1609198852
Registry record updated Jul 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12129 Issued in TX
Practice address
3305 Long Prairie Rd
Suite 120
Flower Mound, TX 75022-2702
Phone
(214) 470-6774
Fax
(972) 724-2049
NPI assigned
Feb 15, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 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 12129 TX Primary

Addresses

Primary practice location

3305 Long Prairie Rd
Suite 120
Flower Mound, TX 75022-2702

Mailing address

2913 Corporate Cir
Ste 400
Flower Mound, TX 75028-5616
Phone (214) 470-6774

Other identifiers 2

IdentifierTypeStateIssuer
TXB164271OtherMEDICARE PTAN
608755OtherBLUE CROSS BLUE SHEILD RECORD ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121004000267 TX Practitioner - Chiropractic 9830220698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2913 Corporate Cir
Suite 400
Flower Mound, TX 75028-5616

4431 Long Prairie Rd
Suite 300
Flower Mound, TX 75028-1753
Phone (214) 470-6774

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12129TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Abundant Living Health and Wellness PLLC Chiropractor CurrentSince Jan 1, 2017 Accepting new patients
The Healthy Place LLC Chiropractor CurrentSince Nov 9, 2021 Accepting new patients
Chiropractic Natural Health Care Incorporated Chiropractor Past Accepting new patients
TRD Chiropractic Inc Chiropractor PastSince Sep 2, 2014 Accepting new patients

Locations

2913 Corporate Cir
Ste 400
Flower Mound, TX 75028
Phone (214) 470-6774

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1266192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500854400000",
    "number": "1609198852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2913 CORPORATE CIR",
            "address_2": "STE 400",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750285616",
            "telephone_number": "214-470-6774",
            "fax_number": "972-692-7280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 LONG PRAIRIE RD",
            "address_2": "SUITE 120",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750222702",
            "telephone_number": "214-470-6774",
            "fax_number": "972-724-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHRENS",
        "first_name": "MARK",
        "middle_name": "ALLAN",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-15",
        "last_updated": "2017-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "TXB164271",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD RECORD ID",
            "identifier": "608755",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2017; 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.

Verify at the official NPI Registry.