Organization Active NPI

Mark J Haynes a Professional Chiropractic Corporation

  • Chiropractor
  • Billings, MT
National Provider Identifier
1720132228
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1115 Issued in MT
Legal business name
MARK J HAYNES A PROFESSIONAL CHIROPRACTIC CORPORATION
Practice address
670 King Park Dr
Ste 1
Billings, MT 59102-6257
Phone
(406) 655-4940
Fax
(406) 655-4944
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Authorized official

Name
Dr. Mark Jonathan Haynes, D.C.NPI 1013933001
Title
Ownerpresident
Phone
(406) 655-4940

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 1115 MT Primary

Addresses

Primary practice location

670 King Park Dr
Ste 1
Billings, MT 59102-6257

Mailing address

670 King Park Dr
Ste 1
Billings, MT 59102-6257
Phone (406) 655-4940

Other names 1

  • Montana Pain & Rehab Center/Montana Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070328000502 MT Part B Supplier - Clinic/Group Practice 6002910239 Receives reassigned benefits from 2 practitioners
Practice locations: Billings, MT

National Provider Directory

National Provider Directory

Locations

670 King Park Dr
Ste 1
Billings, MT 59102
Phone (406) 651-5433

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1720132228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 KING PARK DR",
            "address_2": "STE 1",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591026257",
            "telephone_number": "406-655-4940",
            "fax_number": "406-655-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 KING PARK DR",
            "address_2": "STE 1",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591026257",
            "telephone_number": "406-655-4940",
            "fax_number": "406-655-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK J HAYNES A PROFESSIONAL CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNERPRESIDENT",
        "authorized_official_telephone_number": "406-655-4940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "1115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montana Pain & Rehab Center/Montana Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.