Marshall Establishment PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MARSHALL ESTABLISHMENT PLLC

Practice address

3980 Southside Blvd Ste 108
Jacksonville, FL 32216-6612

Phone

(904) 436-1106

NPI assigned

Sep 19, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Nicole Marshall, DCNPI 1275311474

Title

Provider/Owner/Ao

Phone

(904) 436-1106

Specialties & licenses 1

Addresses

Other names 1

• MaxLiving Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frederick Charles Herx IV, DC

  • Chiropractor
  • Jacksonville, FL
  • NPI 1467247916
  Medicare reassignment Care Compare group NPD
• James Marshall III, D.C.

  • Chiropractor
  • Jacksonville, FL
  • NPI 1033598701
  Medicare reassignment Care Compare group NPD
• Nicole Marshall, DC

  • Chiropractor
  • Jacksonville, FL
  • NPI 1275311474
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1790563997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 SOUTHSIDE BLVD STE 108",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166612",
            "telephone_number": "904-436-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 SOUTHSIDE BLVD STE 108",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166612",
            "telephone_number": "904-436-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL ESTABLISHMENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "PROVIDER/OWNER/AO",
        "authorized_official_telephone_number": "904-436-1106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MaxLiving Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donald R. Mars, MD
• Ronald Lee Mars, MD
• Christopher Bernard Marsalisi
• Amelia Marsh
• John Michael Marsh, DC
• Marshall Family Chiropractic
• Brent Thomas Marshall, PA-C
• Carey Brenisha Marshall
• Carol Marshall
• Erica Tynita Marshall

• Chiropractor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.