Individual provider Active NPI

Mark Wheeler Earnhart, D.C.

  • Chiropractor
  • Friday Harbor, WA
National Provider Identifier
1811028251
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1787 Issued in WA
Practice address
545 Spring Street
Friday Harbor, WA 98250
Phone
(360) 378-5660
Fax
(360) 378-9556
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1787 WA Primary

Addresses

Primary practice location

545 Spring Street
Friday Harbor, WA 98250

Mailing address

545 Spring St.
Friday Harbor, WA 98250-1430
Phone (360) 378-5660

Other identifiers 2

IdentifierTypeStateIssuer
0018818OtherWALABOR & INDUSTRIES
51005OtherWAREGENCE BLUE SHEILD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1787WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Island Hearing Healthcare, LLC PastSince Jan 1, 2011 Accepting new patients

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811028251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 SPRING ST.",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982501430",
            "telephone_number": "360-378-5660",
            "fax_number": "360-378-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 SPRING STREET",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "98250",
            "telephone_number": "360-378-5660",
            "fax_number": "360-378-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARNHART",
        "first_name": "MARK",
        "middle_name": "WHEELER",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "1787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0018818",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHEILD",
            "identifier": "51005",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Friday Harbor, WA

Sources for this page

  • 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.