Marc Dewayne Hines, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00002989 Issued in WA

Practice address

12815 Canyon Rd E
Suite I
Puyallup, WA 98373-5786

Phone

(253) 256-4769

NPI assigned

Jan 18, 2007

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

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Genesis Chiropractic Rehabilitation NW IncGroup PAC ID 6800227695, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Genesis Chiropractic Rehabilitation NW Inc

  • Chiropractor
  • Puyallup, WA
  • NPI 1184897225
  Medicare reassignment Care Compare group Authorized official
• Michael Church

  • Chiropractor
  • Puyallup, WA
  • NPI 1457539892
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1710030358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12815 CANYON RD E",
            "address_2": "STE K",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983735104",
            "telephone_number": "253-256-4769",
            "fax_number": "253-268-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12815 CANYON RD E",
            "address_2": "SUITE I",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983735786",
            "telephone_number": "253-256-4769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "MARC",
        "middle_name": "DEWAYNE",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mellisa Danielle Hill
• Kenneth L. Hilliard, DPM
• Karl Herbert Hilsenberg, PA-C
• Bradley Hilty, CCC-SLP
• Scott Hinckley
• Kristina Hinrichs, LICSW
• Nathaniel Hinrichs
• Alexis Hinton
• Breena Sue Hirsch, PTA
• Michael Charles Hirsig, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.