David E Mauk DC Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

887 Issued in OH

Legal business name

DAVID E MAUK DC INC

Practice address

1036 Mount Vernon Ave
Marion, OH 43302-5537

Phone

(740) 389-5151

Fax

(740) 389-6994

NPI assigned

Mar 11, 2015

Organization subpart

No

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

Authorized official

Name

Dr. David Eugene Mauk, D.C.NPI 1942312178

Title

Chiropractor

Phone

(740) 389-5151

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

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

• David Eugene Mauk, DC

  • Chiropractor
  • Marion, OH
  • NPI 1942312178
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1801289152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 MOUNT VERNON AVE",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433025537",
            "telephone_number": "740-389-5151",
            "fax_number": "740-389-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 MOUNT VERNON AVE",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433025537",
            "telephone_number": "740-389-5151",
            "fax_number": "740-389-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID E MAUK DC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "MAUK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "740-389-5151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0480886",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350031086",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000132604",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "4400014",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Andrew Davidson
• Dionne Nikole Davidson, STNA
• Johanna Davidson, CRNA
• Amanda Nicole Davis

• Chiropractor in Marion, OH
• Providers in Marion, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.