Individual provider Active NPI

Mark A. Dumas, D.C.

  • Chiropractor
  • Toledo, OH
National Provider Identifier
1689605990
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1223 Issued in OH
Practice address
723 Phillips Ave
BLDG C.
Toledo, OH 43612-1300
Phone
(419) 478-0303
Fax
(419) 478-0430
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 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 1223 OH Primary

Addresses

Primary practice location

723 Phillips Ave
BLDG C.
Toledo, OH 43612-1300

Mailing address

723 Phillips Ave
BLDG C.
Toledo, OH 43612-1300
Phone (419) 478-0303

Other identifiers 2

IdentifierTypeStateIssuer
0655143MedicaidOH
350018432OtherOHMEDICARE RAILROAD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120404001023 OH Practitioner - Chiropractic 0446410138 Reassigns benefits to 1 organization
Practice locations: Toledo, OH

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Well Balanced Chiropractic, Inc.Group PAC ID 2163547670, 3 clinicians

Practice addresses (Care Compare)

991 Commerce Dr
Perrysburg, OH 43551-5228
Phone (419) 874-7700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1223OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Well Balanced Chiropractic, Inc. CurrentSince Nov 1, 2022 Accepting new patients

Locations

991 Commerce Dr
Perrysburg, OH 43551
Phone (419) 874-7700

Organizations & group practices 1

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337731200000",
    "number": "1689605990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 PHILLIPS AVE",
            "address_2": "BLDG C.",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436121300",
            "telephone_number": "419-478-0303",
            "fax_number": "419-478-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 PHILLIPS AVE",
            "address_2": "BLDG C.",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436121300",
            "telephone_number": "419-478-0303",
            "fax_number": "419-478-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMAS",
        "first_name": "MARK",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2012-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0655143",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "350018432",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.