Active NPI
Mark Allen O'Brien, DC
- Chiropractor
- El Dorado Hills, CA
National Provider Identifier
1770180895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 34782
- Practice address
- 350 Green Valley Rd
El Dorado Hills, CA 95762-3927 - Phone
- (570) 690-5629
- NPI assigned
- Oct 1, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Medical Examiner Chiropractor | 111NI0013X | 35782 | CA | |
| Occupational Health Chiropractor | 111NX0100X | 34782 | CA | |
| Chiropractor | 111N00000X | 34782 | CA | Primary |
Addresses
Primary practice location
350 Green Valley Rd
El Dorado Hills, CA 95762-3927
Mailing address
1013 Geneva CT
El Dorado Hills, CA 95762-4003
Phone (570) 690-5629
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35782 | CA | MD | Independent Medical Examiner Chiropractor |
| 34782 | CA | MD | Occupational Health Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601510400000",
"number": "1770180895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1013 GENEVA CT",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957624003",
"telephone_number": "570-690-5629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 GREEN VALLEY RD",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957623927",
"telephone_number": "570-690-5629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIEN",
"first_name": "MARK",
"middle_name": "ALLEN",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-01",
"last_updated": "2020-10-01",
"certification_date": "2020-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "111NI0013X",
"taxonomy_group": "",
"desc": "Chiropractor, Independent Medical Examiner",
"state": "CA",
"license": "35782",
"primary": false
},
{
"code": "111NX0100X",
"taxonomy_group": "",
"desc": "Chiropractor, Occupational Health",
"state": "CA",
"license": "34782",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "34782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Dorado Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.