Active NPI
Marc A Ferrin, D.C.
- Chiropractor
- Jefferson City, MO
National Provider Identifier
1821205337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2009001038
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0157660 | Other | WA | L&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
| License | State | Type | Specialty |
|---|---|---|---|
| 2009001038 | MO | MD | Chiropractor |
| CH00033961 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JC Nerve Centers LLC | Current | 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.
-
- Family Medicine Physician
- Jefferson City, MO
- NPI 1467056861
-
- Chiropractor
- Sequim, WA
- NPI 1962671032
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.