Mark Kevin Lique, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2921 Issued in MA

Practice address

606 Broadway
Haverhill, MA 01832-1206

Phone

(978) 521-2225

Fax

(978) 521-2678

NPI assigned

Sep 21, 2006

Last updated

Feb 21, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mark Lique, D.C., LLC

  • Chiropractor
  • Haverhill, MA
  • NPI 1639449424
  Medicare reassignment NPD Authorized official
• American Medical Group

  • Rehabilitation Chiropractor
  • Jamaica Plain, MA
  • NPI 1043513427
  NPD (past) Authorized official
• American Medical Group

  • Physical Therapist
  • Jamaica Plain, MA
  • NPI 1750613501
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1659479509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 BROADWAY",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018321206",
            "telephone_number": "978-521-2225",
            "fax_number": "978-521-2678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 BROADWAY",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018321206",
            "telephone_number": "978-521-2225",
            "fax_number": "978-521-2678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "408 S Huntington Ave",
            "address_purpose": "LOCATION",
            "city": "Jamaica Plain",
            "state": "MA",
            "postal_code": "021304814",
            "country_code": "US",
            "telephone_number": "617-522-9200",
            "fax_number": "617-522-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIQUE",
        "first_name": "MARK",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "747-0905",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA53239",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2952014",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "05Y009056NH01",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Haverhill, MA
• Providers in Haverhill, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.