Marc A Mizzer, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

S03444 Issued in MD

Practice address

9420 Key West Ave Ste 30
Rockville, MD 20850

Phone

(301) 762-3200

Fax

(301) 762-3200

NPI assigned

Nov 17, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rehab Center of Maryland LLCGroup PAC ID 1355320706, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rehab Center of Maryland LLC

  • Chiropractor
  • Columbia, MD
  • NPI 1528169570
  Medicare reassignment Care Compare group NPD
• Total Wellness Chiropractic Center of Bowie, LLC

  • Chiropractor
  • Bowie, MD
  • NPI 1134292873
  NPD (past)
• Kentucky Family Chiropractic East Louisville PSC

  • Chiropractor
  • Louisville, KY
  • NPI 1629166632
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1740353440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9420 KEY WEST AVE STE 302",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506212",
            "telephone_number": "301-762-3200",
            "fax_number": "301-762-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9420 KEY WEST AVE STE 30",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20850",
            "telephone_number": "301-762-3200",
            "fax_number": "301-762-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8600 Snowden River Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "21045",
            "country_code": "US",
            "telephone_number": "410-720-5555",
            "fax_number": "410-381-4653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIZZER",
        "first_name": "MARC",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DC",
            "identifier": "F015-0005",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MARYLAND",
            "identifier": "887415-01",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Archibald James Mixson, M.D.
• Haley Elizabeth Mixson, LCSW-C
• Glenn Yutaka Miyamoto, DDS
• Kayleigh Mize
• Maryam Y Mizrahi, M.D.
• Jaylen Mkandawire
• MNH Holdings, LLC (Right at Home)
• Mo-Ping Chow M D P a
• Victoria Moas
• Morgan Moats

• Chiropractor in Rockville, MD
• Providers in Rockville, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.