Mark Steven Deardorff, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC008906 Issued in PA

Practice address

501 Market St
Lemoyne, PA 17043-1594

Phone

(717) 763-7711

Fax

(717) 763-7197

NPI assigned

Mar 13, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Becker Chiropractic Center, P.C.

  • Chiropractor
  • Lemoyne, PA
  • NPI 1295883643
  NPD (past)

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1780143487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MARKET ST",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "170431594",
            "telephone_number": "717-763-7711",
            "fax_number": "717-763-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MARKET ST",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "170431594",
            "telephone_number": "717-763-7711",
            "fax_number": "717-763-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEARDORFF",
        "first_name": "MARK",
        "middle_name": "STEVEN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "beckerchiropractic@verizon.net",
            "affiliation": "N",
            "address_1": "3162 Jayne Ln",
            "city": "Dover",
            "state": "PA",
            "country_code": "US",
            "postal_code": "173153098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cumberland Psychiatric Associates
• Daniel J Dandy, DPT
• Regina Daniel
• Amy Elizabeth Davies
• Emily Ann Davis, MSN, CRNP, FNP-C
• Robert Delrosario, M.D.
• Richelle Demers, DC
• Carla J Dente, MD
• Dialysis Services of Pennsylvania, Inc- Lemoyne
• Joanny Ezekiel James Diaz, RT

• All providers in Lemoyne, PA
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.