Mark Shader, DC

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

CH5524 Issued in FL

Practice address

800 Jeffery St Apt 407
Boca Raton, FL 33487-4166

Phone

(954) 341-6446

NPI assigned

Jan 2, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• 3Rd-Leg of the Stool

  • Nutrition Chiropractor
  • Boca Raton, FL
  • NPI 1407276777
  NPD (past) Authorized official

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

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388620800000",
    "number": "1629499041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 JEFFERY ST APT 407",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334874166",
            "telephone_number": "954-341-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 JEFFERY ST APT 407",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334874166",
            "telephone_number": "954-341-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADER",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-02",
        "last_updated": "2014-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "FL",
            "license": "CH5524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ophnie Severe, FAMILY NURSE PRACTIT
• Mark F Severino, MD
• Noelle Christine Seyglinski, NP
• Andrei Sfintescu, D.O.
• SGR Psychological Health Services, Inc.
• Shadowood Chiropractic Center,Inc.
• Alan Martin Shaff, D.C.
• Sam Shaffer
• Suhaa Shafi, PA
• Ria Shah

• Nutrition Chiropractor in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Nutrition Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.