Individual provider Active NPI

Michael Alan Marks, D.C.

  • Chiropractor
  • Boca Raton, FL
National Provider Identifier
1780606368
Registry record updated Feb 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH5957 Issued in FL
Practice address
9325 Glades Rd
Suite 108
Boca Raton, FL 33434-3988
Phone
(561) 488-0225
Fax
(561) 488-0722
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH5957 FL Primary

Addresses

Primary practice location

9325 Glades Rd
Suite 108
Boca Raton, FL 33434-3988

Mailing address

9325 Glades Rd
Suite 108
Boca Raton, FL 33434-3988
Phone (561) 488-0225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090415000171 FL Practitioner - Chiropractic 9335296086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9325 Glades Rd
Suite 108
Boca Raton, FL 33434-3988
Phone (561) 488-0225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michael a Marks PA Chiropractor CurrentSince Jun 1, 2008 Accepting new patients

Locations

9325 Glades Rd
Ste 108
Boca Raton, FL 33434
Phone (561) 477-8588

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234915200000",
    "number": "1780606368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9325 GLADES RD",
            "address_2": "SUITE 108",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343988",
            "telephone_number": "561-488-0225",
            "fax_number": "561-488-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9325 GLADES RD",
            "address_2": "SUITE 108",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343988",
            "telephone_number": "561-488-0225",
            "fax_number": "561-488-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2009-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.