Active NPI
Mark Charles Thomson, D.C.
- Chiropractor
- Ventura, CA
National Provider Identifier
1700996162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC14256
- Practice address
- 5755 Valentine Road
Suite 210
Ventura, CA 93003-7407 - Phone
- (805) 650-1297
- Fax
- (805) 644-1501
- NPI assigned
- Aug 30, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC14256 | CA | Primary |
Addresses
Primary practice location
5755 Valentine Road
Suite 210
Ventura, CA 93003-7407
Mailing address
5755 Valentine Rd
Suite 210
Ventura, CA 93003-7407
Phone (805) 650-1297
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100929000370 | CA | Practitioner - Chiropractic | 5496871212 | Practice locations: Ventura, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1980
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5755 Valentine Rd
Suite 210
Ventura, CA 93003-7468
Phone (805) 650-1297
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC14256 | CA | MD | Chiropractor |
| 14256 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394150400000",
"number": "1700996162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5755 VALENTINE RD",
"address_2": "SUITE 210",
"city": "VENTURA",
"state": "CA",
"postal_code": "930037407",
"telephone_number": "805-650-1297",
"fax_number": "805-644-4527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5755 VALENTINE ROAD",
"address_2": "SUITE 210",
"city": "VENTURA",
"state": "CA",
"postal_code": "930037407",
"telephone_number": "805-650-1297",
"fax_number": "805-644-1501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMSON",
"first_name": "MARK",
"middle_name": "CHARLES",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2014-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC14256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; 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.