Individual provider Active NPI

Mark Alan Harrington, DC

  • Chiropractor
  • Davie, FL
National Provider Identifier
1609898402
Registry record updated Aug 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8330 Issued in FL
Practice address
13664 W State Road 84
Davie, FL 33325-5302
Phone
(954) 915-9944
Fax
(954) 915-9972
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8330 FL Primary

Addresses

Primary practice location

13664 W State Road 84
Davie, FL 33325-5302

Mailing address

13664 W State Road 84
Davie, FL 33325-5302
Phone (954) 915-9944

Other identifiers 1

IdentifierTypeStateIssuer
003779500MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100914001058 FL Practitioner - Chiropractic 4183749179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13664 W State Rd
Suite 84
Davie, FL 33325-5302
Phone (954) 915-9944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tmjoc, Inc. Chiropractor CurrentSince Jul 15, 2011 Accepting new patients
Shenandoah Chiropractic, P.a. Chiropractor Past Accepting new patients
Ramon a. Gonzalez, D.C.P.a. Chiropractor PastSince Sep 1, 2002 Accepting new patients

Locations

13664 W State Road 84
Davie, FL 33325
Phone (954) 528-9595

Organizations & group practices 3

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344556800000",
    "number": "1609898402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13664 W STATE ROAD 84",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333255302",
            "telephone_number": "954-915-9944",
            "fax_number": "954-915-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13664 W STATE ROAD 84",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333255302",
            "telephone_number": "954-915-9944",
            "fax_number": "954-915-9972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRINGTON",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2012-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "8330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003779500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; 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.