Mark a. Havertape P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

A05832 Issued in IA

Legal business name

MARK A. HAVERTAPE P.C.

Practice address

3804 1St Ave NE
Cedar Rapids, IA 52402-5603

Phone

(319) 364-6387

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark Allan Havertape, DCNPI 1881613495

Title

President

Phone

(319) 364-6387

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Allan Havertape, D.C.

  • Chiropractor
  • Cedar Rapids, IA
  • NPI 1881613495
  Medicare reassignment Care Compare group NPD Authorized official
• Austin Michael Havertape

  • Chiropractor
  • Cedar Rapids, IA
  • NPI 1255104899
  Medicare reassignment Care Compare group NPD
• Laura Ledger, DC

  • Chiropractor
  • Marion, IA
  • NPI 1215091228
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831297472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3804 1ST AVE NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025603",
            "telephone_number": "319-364-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3804 1ST AVE NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025603",
            "telephone_number": "319-364-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A. HAVERTAPE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAVERTAPE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-364-6387",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0125369",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy March, LMSW
• Marchiori Family Chiropractic Inc
• Richard P Marchiori, DC
• Marion Pediatrics, PC
• Marjan Management Services LTD
• Alisha Markel, LPN
• Blaney Ann Markman
• Maureen Marks, M.D.
• Jana L Marlett, MD
• Theresa Marlow, TLMFT

• Chiropractor in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.