Individual provider Active NPI

Mark Wardenburg, D.C.

  • Orthopedic Chiropractor
  • Irvine, CA
National Provider Identifier
1700870706
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
DC24241 Issued in CA
Practice address
18124 Culver Dr
Suite F
Irvine, CA 92612-2729
Phone
(949) 552-9393
Fax
(949) 552-5872
NPI assigned
Sep 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X DC24241 CA Primary

Addresses

Primary practice location

18124 Culver Dr
Suite F
Irvine, CA 92612-2729

Mailing address

18124 Culver Dr
Suite F
Irvine, CA 92612-2729
Phone (949) 552-9393

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031208000255 CA Practitioner - Chiropractic 3072419571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1995
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

18124 Culver Dr
Suite F
Irvine, CA 92612-2729
Phone 9495529393243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24241CAMDClinical Social Worker
DC24241CAMDOrthopedic Chiropractor

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": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1700870706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18124 CULVER DR",
            "address_2": "SUITE F",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122729",
            "telephone_number": "949-552-9393",
            "fax_number": "949-552-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18124 CULVER DR",
            "address_2": "SUITE F",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122729",
            "telephone_number": "949-552-9393",
            "fax_number": "949-552-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDENBURG",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "CA",
            "license": "DC24241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.