Individual provider Active NPI

Marc A Ferrin, D.C.

  • Chiropractor
  • Jefferson City, MO
National Provider Identifier
1821205337
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2009001038 Issued in MO
Practice address
2707 W Edgewood Dr Ste 104
Jefferson City, MO 65109-5886
Phone
(573) 893-9800
Fax
(888) 335-8965
NPI assigned
May 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00033961 WA
Chiropractor 111N00000X 2009001038 MO Primary

Addresses

Primary practice location

2707 W Edgewood Dr Ste 104
Jefferson City, MO 65109-5886

Mailing address

2707 W. Edgewood Dr.
Ste. 104
Jefferson City, MO 65109
Phone (573) 893-9800

Other identifiers 1

IdentifierTypeStateIssuer
0157660OtherWAL&I

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
2009001038MOMDChiropractor
CH00033961WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
JC Nerve Centers LLC CurrentSince Sep 7, 2020 Accepting new patients
Coastal Chiropractic Center Chiropractor Past Accepting new patients

Locations

2707 W Edgewood Dr
Ste 104
Jefferson Cty, MO 65109
Phone (573) 410-2887

Organizations & group practices 2

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248307200000",
    "number": "1821205337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 W. EDGEWOOD DR.",
            "address_2": "STE. 104",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "65109",
            "telephone_number": "573-893-9800",
            "fax_number": "888-335-8965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 W EDGEWOOD DR STE 104",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651095886",
            "telephone_number": "573-893-9800",
            "fax_number": "888-335-8965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRIN",
        "first_name": "MARC",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2009-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00033961",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2009001038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0157660",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; 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.