Mark J Stubbendieck, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1935 Issued in OH

Practice address

780 E Smith Rd Unit a
Medina, OH 44256-2662

Phone

(330) 725-4060

Fax

(330) 722-4582

NPI assigned

Jan 9, 2007

Last updated

Sep 21, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mark J Stubbendieck DC Inc

  • Chiropractor
  • Medina, OH
  • NPI 1699033621
  Medicare reassignment NPD Authorized official
• Mark J Stubbendieck DC Inc

  • Chiropractor
  • Medina, OH
  • NPI 1609315571
  NPD Authorized official
• Mark J Stubbendieck DC Inc

  • Chiropractor
  • Medina, OH
  • NPI 1871869289
  NPD (past) Authorized official

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1841349834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 E SMITH RD # A",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562662",
            "telephone_number": "330-725-4060",
            "fax_number": "330-722-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 E SMITH RD UNIT A",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562662",
            "telephone_number": "330-725-4060",
            "fax_number": "330-722-4582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBBENDIECK",
        "first_name": "MARK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1935",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "OH",
            "license": "1935",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2657665",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000138771",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann Strnad, M.A., CCC-A
• Ilona Maria Strober, PT
• Rachel Stroh, COTA/L
• Ann Marie Stuart, MD
• Madison Stubbendieck
• Colleen Styer
• Kendra Suder, PHARMD, RPH
• Mary Frances Sulminski, M.A. CCC-SLP
• Sarah Sumila, APRN
• Summa Emergency Associates, Inc.

• Chiropractor in Medina, OH
• Providers in Medina, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.