Individual provider Active NPI

Marc Marshall, D.C.

  • Chiropractor
  • Providence, RI
National Provider Identifier
1689624298
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DCP00440 Issued in RI
Practice address
443 Hope St Apt 2
Providence, RI 02906-1660
Phone
(401) 354-2927
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X004370 NY
Chiropractor 111N00000X 1046 MA
Chiropractor 111N00000X DCP00440 RI Primary

Addresses

Primary practice location

443 Hope St Apt 2
Providence, RI 02906-1660

Mailing address

443 Hope St Apt 2
Providence, RI 02906-1660
Phone (401) 354-2927

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080726000017 MA Practitioner - Chiropractic 8224101050 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X004370NYMDChiropractor
DCP00440RIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantis Physical Therapy Group,Inc, Chiropractor CurrentSince Dec 17, 2025 Accepting new patients
Van Roon Chiropractic L.L.P. Chiropractor PastSince Mar 29, 2020 Accepting new patients
Chiropractic Care Center, LLC Chiropractor Past Accepting new patients
Framingham Chiropractor Inc Chiropractor PastSince Nov 9, 2021 Accepting new patients
Elmwood Orthopedic Rehab Center, Inc. PastSince Dec 17, 2025 Accepting new patients
Chiropractic Care Centers, Inc Past Accepting new patients

Locations

62 Warren St
Roxbury, MA 02119
Phone (617) 442-0111

Organizations & group practices 6

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1689624298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 HOPE ST APT 2",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029061660",
            "telephone_number": "401-354-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 HOPE ST APT 2",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029061660",
            "telephone_number": "401-354-2927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X004370",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1046",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DCP00440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.