Active NPI
Mark Anthony Garrison, DC
- Chiropractor
- Torrance, CA
National Provider Identifier
1740233949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 26721
- Practice address
- 25200 Crenshaw Blvd
Ste. 101
Torrance, CA 90505-6130 - Phone
- (424) 212-9428
- Fax
- (424) 210-3512
- NPI assigned
- May 18, 2006
- Last updated
- Nov 11, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2566 | SC | |
| Chiropractor | 111N00000X | 26721 | CA | Primary |
Addresses
Primary practice location
25200 Crenshaw Blvd
Ste. 101
Torrance, CA 90505-6130
Mailing address
627 S Catalina Ave
Redondo Beach, CA 90277-4102
Phone (424) 212-9428
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6CH356 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26721 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garrison Pain Relief Center of Charleston, LLC | Chiropractor | Past | Accepting new patients |
| Garrison Chiropractic | Chiropractor | Past | Accepting new patients |
| Garrison Pain Relief Center | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Chiropractor
- North Charleston, SC
- NPI 1659310589
-
dba Palmetto Pain Relief Center
- Chiropractor
- North Charleston, SC
- NPI 1558555474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289433600000",
"number": "1740233949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "627 S CATALINA AVE",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902774102",
"telephone_number": "424-212-9428",
"fax_number": "424-210-3512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25200 CRENSHAW BLVD",
"address_2": "STE. 101",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905056130",
"telephone_number": "424-212-9428",
"fax_number": "424-210-3512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRISON",
"first_name": "MARK",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2010-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "2566",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "26721",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6CH356",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.