Active NPI
Marc Marshall, D.C.
- Chiropractor
- Providence, RI
National Provider Identifier
1689624298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DCP00440
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X004370 | NY | MD | Chiropractor |
| DCP00440 | RI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantis Physical Therapy Group,Inc, | Chiropractor | Current | Accepting new patients |
| Van Roon Chiropractic L.L.P. | Chiropractor | Past | Accepting new patients |
| Chiropractic Care Center, LLC | Chiropractor | Past | Accepting new patients |
| Framingham Chiropractor Inc | Chiropractor | Past | Accepting new patients |
| Elmwood Orthopedic Rehab Center, Inc. | Past | 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.
-
- Physical Therapist
- Providence, RI
- NPI 1265567077
-
- Chiropractor
- Fitchburg, MA
- NPI 1568612547
-
- Physical Therapist
- Lowell, MA
- NPI 1144473133
-
- Chiropractor
- Framingham, MA
- NPI 1417615592
-
- Chiropractor
- Franklin, MA
- NPI 1861530404
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.