Organization Active NPI

Dr Mark a Nance P a

  • Chiropractor
  • Weaverville, NC
National Provider Identifier
1710244306
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1762 Issued in NC
Legal business name
DR MARK A NANCE P A
Practice address
169 N Main St
Weaverville, NC 28787-8409
Phone
(828) 645-2526
Fax
(828) 645-2521
NPI assigned
Apr 19, 2012
Last updated
Apr 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Authorized official

Name
Dr. Mark Anderson Nance, D.C.NPI 1578625877
Title
Sole Proprietor
Phone
(828) 645-2526

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1762 NC Primary

Addresses

Primary practice location

169 N Main St
Weaverville, NC 28787-8409

Mailing address

169 N Main St
Weaverville, NC 28787-8409
Phone (828) 645-2526

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120424000706 NC Part B Supplier - Clinic/Group Practice 8628230489 Receives reassigned benefits from 1 practitioner
Practice locations: Weaverville, NC

National Provider Directory

National Provider Directory

Locations

169 N Main St
Weaverville, NC 28787
Phone (828) 645-2526

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1710244306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 N MAIN ST",
            "city": "WEAVERVILLE",
            "state": "NC",
            "postal_code": "287878409",
            "telephone_number": "828-645-2526",
            "fax_number": "828-645-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 N MAIN ST",
            "city": "WEAVERVILLE",
            "state": "NC",
            "postal_code": "287878409",
            "telephone_number": "828-645-2526",
            "fax_number": "828-645-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MARK A NANCE P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-19",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "NANCE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANDERSON",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "828-645-2526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weaverville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.