Mark Webber, DC CCSP

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2933 Issued in WA

Practice address

10517 NE 38TH PL
BLDG 11
Kirkland, WA 98033-7926

Phone

(425) 869-2882

Fax

(425) 869-0368

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Webber Chiropractic Sports Clinic IncGroup PAC ID 8729133889, 2 clinicians

Practice addresses (Care Compare)

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.

• Webber Chiropractic Sports Clinic, Inc

  • Chiropractor
  • Kirkland, WA
  • NPI 1225269079
  Medicare reassignment Care Compare group NPD Authorized official
• Bellevue Medical Center

  • Physician Assistant
  • Bellevue, WA
  • NPI 1750754883
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452729600000",
    "number": "1700958766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10517 NE 38TH PL",
            "address_2": "BLDG 11",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337926",
            "telephone_number": "425-869-2882",
            "fax_number": "425-869-0368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10517 NE 38TH PL",
            "address_2": "BLDG 11",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337926",
            "telephone_number": "425-869-2882",
            "fax_number": "425-869-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBBER",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DC CCSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2016-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "2933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "118943",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• We Occupational Therapy to Move
• Katherine M Weaver, DDS
• Lois Jean Weaver, MD
• Kaitlin Webb
• Webber Chiropractic Sports Clinic, Inc
• Elizabeth Weber
• William J Weber, DC
• Megan Webster
• Taylor Webster
• Wade W Webster, M.D.

• Chiropractor in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; 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.