Individual provider Active NPI

Mark Garren Deichman, DC

  • Chiropractor
  • Barnwell, SC
National Provider Identifier
1679954044
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4037 Issued in SC
Practice address
76 Irving St
Barnwell, SC 29812-1500
Phone
(803) 259-9412
Fax
(803) 259-0559
NPI assigned
Jun 11, 2015
Sex
Male
Sole proprietor
No

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.

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

76 Irving St
Barnwell, SC 29812-1500
Phone (803) 259-9412

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230727003261 SC Practitioner - Chiropractic 5496061798 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4037SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Deichman Barnwell Chiropractic LLC Chiropractor CurrentSince May 6, 2024 Accepting new patients
Dennis J Shay DC PA Chiropractor CurrentSince Jun 5, 2023 Accepting new patients

Locations

76 Irving St
Barnwell, SC 29812
Phone (803) 259-9412

761 John C Calhoun Dr
Orangeburg, SC 29115
Phone (803) 536-1635

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4037 SC Primary

Addresses

NPPES NPI Registry

Primary practice location

76 Irving St
Barnwell, SC 29812-1500

Mailing address

76 Irving St
Barnwell, SC 29812-1500
Phone (803) 259-9412

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 5, 2024.

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1679954044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 IRVING ST",
            "city": "BARNWELL",
            "state": "SC",
            "postal_code": "298121500",
            "telephone_number": "803-259-9412",
            "fax_number": "803-259-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 IRVING ST",
            "city": "BARNWELL",
            "state": "SC",
            "postal_code": "298121500",
            "telephone_number": "803-259-9412",
            "fax_number": "803-259-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEICHMAN",
        "first_name": "MARK",
        "middle_name": "GARREN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-11",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barnwell, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.