Mark Eugene Walters, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-05097 Issued in KS

Practice address

3115 W 6TH St
Suite K
Lawrence, KS 66049-3101

Phone

(913) 909-3559

NPI assigned

Mar 28, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

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 and National Provider Directory roles.

• Cleveland University Kansas City

  • Chiropractor
  • Overland Park, KS
  • NPI 1558754341
  Medicare reassignment NPD
• Mid-America Family Chiropractic, LLC

  • Chiropractor
  • Lawrence, KS
  • NPI 1871615575
  NPD (past) Authorized official

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205107200000",
    "number": "1699894030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19523 222ND ST",
            "city": "TONGANOXIE",
            "state": "KS",
            "postal_code": "660864460",
            "telephone_number": "913-909-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 W 6TH ST",
            "address_2": "SUITE K",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660493101",
            "telephone_number": "913-909-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "MARK",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2008-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walmart Inc.
• Jakob Walter, PHARMD
• Molly M Walter, LPC
• Amanda Walters, PHARMD
• Amy Walters
• William Clay Walters, LAC, NCAC II, KCGC
• Jeanette Suzanne Walther, MA CCC-SLP
• Elizabeth Marie Waltz, RPH
• Sarah Wambheim, ATC
• Ruoyu Wan

• Chiropractor in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.