Mark Derek Emerson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

26278 Issued in CA

Practice address

14375 Saratoga Ave
Suite 101
Saratoga, CA 95070-5988

Phone

(408) 872-1031

Fax

(408) 872-1074

NPI assigned

Feb 15, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801939046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14375 SARATOGA AVE",
            "address_2": "SUITE 101",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950705988",
            "telephone_number": "408-872-1031",
            "fax_number": "408-872-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14375 SARATOGA AVE",
            "address_2": "SUITE 101",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950705988",
            "telephone_number": "408-872-1031",
            "fax_number": "408-872-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERSON",
        "first_name": "MARK",
        "middle_name": "DEREK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "851",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "26278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII CHIROPRACTIC LICEN",
            "identifier": "851",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA-LICENSE",
            "identifier": "26278",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Jeanne Drotar, OCCUPATIONAL THARAPI
• Dzogchen Healing Center
• Phillip M Edwards, PT
• Hellene Eleni Ellenikiotis, DDS, MS
• Yianni Ellenikiotis, D.M.D
• Michael Emerson
• Daniel E Erdman, MD
• Erik Schraga MD (Bay Mobile Urgent Care)
• Jack Leon Charles Erwin, M.S. PSYCHOLOGY, CLI
• Elise Eschen

• Chiropractor in Saratoga, CA
• Providers in Saratoga, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.