Individual provider Active NPI

David Mark Majercin, DC

  • Chiropractor
  • Sarasota, FL
National Provider Identifier
1609895556
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7308 Issued in FL
Practice address
5640 Marquesas Cir
Sarasota, FL 34233-3331
Phone
(941) 921-5741
Fax
(941) 927-5746
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH7308 FL Primary

Addresses

Primary practice location

5640 Marquesas Cir
Sarasota, FL 34233-3331

Mailing address

5640 Marquesas Cir
Sarasota, FL 34233-3331
Phone (941) 921-5741

Other identifiers 1

IdentifierTypeStateIssuer
55779OtherFLBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101112000871 FL Practitioner - Chiropractic 4880689082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sarasota Medical Clinic PAGroup PAC ID 5597723593, 4 clinicians

Practice addresses (Care Compare)

5640 Marquesas Cir
Sarasota, FL 34233-3331
Phone (941) 921-5741

5640 Marquesas Circle
Sarasota, FL 34233-3331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH7308FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sarasota Medical Clinic PA Chiropractor CurrentSince Jun 3, 2003 Accepting new patients
Osprey Physical Medicine Center LLC PastSince Aug 11, 2003 Accepting new patients

Locations

5640 Marquesas Cir
Sarasota, FL 34233
Phone (941) 921-5741

Organizations & group practices 2

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609895556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5640 MARQUESAS CIR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342333331",
            "telephone_number": "941-921-5741",
            "fax_number": "941-927-5746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5640 MARQUESAS CIR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342333331",
            "telephone_number": "941-921-5741",
            "fax_number": "941-927-5746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAJERCIN",
        "first_name": "DAVID",
        "middle_name": "MARK",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "55779",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

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.
  • 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.