E. Mark Waterman, AH, DC, IDE

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC19321 Issued in CA

Practice address

2440 W. Arrow Route
Suite 5a
Upland, CA 91786-9450

Phone

(909) 670-2225

Fax

(909) 670-2227

NPI assigned

Mar 28, 2007

Last updated

Sep 30, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mark Waterman Chiropractic Corporation

  • Chiropractor
  • Upland, CA
  • NPI 1083076889
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1710006432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 W. ARROW ROUTE",
            "address_2": "SUITE 5A",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917869450",
            "telephone_number": "909-670-2225",
            "fax_number": "909-670-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 W. ARROW ROUTE",
            "address_2": "SUITE 5A",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917869450",
            "telephone_number": "909-670-2225",
            "fax_number": "909-670-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERMAN",
        "first_name": "E.",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "AH, DC, IDE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "DC19321",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC19321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warren Regh C. Gabrillo III M.D. Inc.
• Cidnie Lynn Warren, BCBA
• Warrior for Children, LLC
• Deborah L Washke, MD
• Sindi Diane Wasserman, MFT
• Briana Watson
• Louis H Watson, MD
• Watson, Sanchez, & Navarro Psychological Group Inc
• Weaver-Ratkovic Chiropractic, Inc.
• Brian Todd Weaver, D.C.

• Chiropractor in Upland, CA
• Providers in Upland, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.