Individual provider Active NPI

Mark Duncan Salt, DC

  • Chiropractor
  • Chula Vista, CA
National Provider Identifier
1760577498
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC22840 Issued in CA
Practice address
272 Church Ave Ste 1
Chula Vista, CA 91910-2718
Phone
(619) 420-7858
Fax
(619) 420-4569
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC22840 CA Primary

Addresses

Primary practice location

272 Church Ave Ste 1
Chula Vista, CA 91910-2718

Mailing address

272 Church Ave Ste 1
Chula Vista, CA 91910-2718
Phone (619) 420-7858

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091113000257 CA Practitioner - Chiropractic 1850439746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2452 Fenton St
Suite 206
Chula Vista, CA 91914-4551
Phone (619) 426-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC22840CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Salt Family Chiropractic, Inc. Chiropractor CurrentSince Apr 1, 2007 Accepting new patients

Locations

2452 Fenton St
Ste 206
Chula Vista, CA 91914
Phone (619) 426-2225

272 Church Ave
Ste 1
Chula Vista, CA 91910
Phone (619) 420-7858

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760577498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 CHURCH AVE STE 1",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102718",
            "telephone_number": "619-420-7858",
            "fax_number": "619-420-4569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 CHURCH AVE STE 1",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102718",
            "telephone_number": "619-420-7858",
            "fax_number": "619-420-4569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALT",
        "first_name": "MARK",
        "middle_name": "DUNCAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC22840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.