Organization Active NPI

Marks Family Chiropractic LLC

  • Chiropractor
  • Eugene, OR
National Provider Identifier
1639835804
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MARKS FAMILY CHIROPRACTIC LLC
Practice address
1400 Executive Pkwy Ste 220
Eugene, OR 97401-7109
Phone
(541) 345-1669
NPI assigned
Nov 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Authorized official

Name
Dr. Kohl Marks, DCNPI 1023585593
Title
Doctor of Chiropractic-Lead
Phone
(541) 345-1669

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1400 Executive Pkwy Ste 220
Eugene, OR 97401-7109

Mailing address

1400 Executive Pkwy Ste 220
Eugene, OR 97401-7109
Phone (541) 345-1669

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220106001441 OR Part B Supplier - Clinic/Group Practice 2365833092 Receives reassigned benefits from 1 practitioner
Practice locations: Eugene, OR

National Provider Directory

National Provider Directory

Locations

1200 Executive Pkwy
Ste 340
Eugene, OR 97401
Phone (541) 345-1669

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1639835804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 EXECUTIVE PKWY STE 220",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017109",
            "telephone_number": "541-345-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 EXECUTIVE PKWY STE 220",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017109",
            "telephone_number": "541-345-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKS FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-11",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "MARKS",
        "authorized_official_first_name": "KOHL",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC-LEAD",
        "authorized_official_telephone_number": "541-345-1669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.