Mark Allan Rosenbaum, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301004304 Issued in MI

Practice address

4403 W Michigan Ave
Kalamazoo, MI 49006-5866

Phone

(269) 375-6565

Fax

(269) 375-7168

NPI assigned

Jul 19, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Sundberg Family Chiropractic

  • Chiropractor
  • Kalamazoo, MI
  • NPI 1811305386
  NPD (past)

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1811996259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 W MICHIGAN AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490065866",
            "telephone_number": "269-375-6565",
            "fax_number": "269-375-7168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 W MICHIGAN AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490065866",
            "telephone_number": "269-375-6565",
            "fax_number": "269-375-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBAUM",
        "first_name": "MARK",
        "middle_name": "ALLAN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "950C950380",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "950C950380",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whitney Rose, L.L.M.S.W.
• Kaleigh Roselli
• Sonja Renee Roseman, LMSW
• Ashley Rosen, RN
• James F Rosenbaum, MD
• Mackenzie Rosenberg-Scholte
• Rosie & Lauras Healing Hearts
• Ashley Joanne Ross, MSN, CPNP
• Candace W Ross, PHD
• Kim Ross

• Chiropractor in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.