Mark U Escobedo, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2360 Issued in SC

Practice address

121 Sparkleberry Crossing Rd
Suite 200
Columbia, SC 29229-8639

Phone

(803) 788-2167

Fax

(803) 788-4165

NPI assigned

Jun 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Escobedo Advanced Healthcare Solutions LLC

  • General Practice Physician
  • Columbia, SC
  • NPI 1255945754
  NPD Authorized official
• Mark Escobedo DC

  • Chiropractor
  • Columbia, SC
  • NPI 1386866846
  NPD (past) Authorized official

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1801835574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 SPARKLEBERRY CROSSING RD",
            "address_2": "SUITE 200",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292298639",
            "telephone_number": "803-788-2167",
            "fax_number": "803-788-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 SPARKLEBERRY CROSSING RD",
            "address_2": "SUITE 200",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292298639",
            "telephone_number": "803-788-2167",
            "fax_number": "803-788-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBEDO",
        "first_name": "MARK",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2360",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Harriott Fisher Ervin, MD
• Jennifer Ervin
• Mary Elizabeth Ervin
• Escobedo Advanced Healthcare Solutions LLC
• Amy Marie Escobedo, D.C.
• Paul T Escott, NP
• Charles D Eskridge, M.D.
• Michael Anthony Eslick II, PHARM D
• Alejandro Espaillat, MD
• Octaviano Espinosa, M.D.

• Chiropractor in Columbia, SC
• Providers in Columbia, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; 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.