Individual provider Active NPI

Mark Prather, D.C.

  • Chiropractor
  • Rochester Hills, MI
National Provider Identifier
1861694085
Registry record updated Feb 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301006709 Issued in MI
Practice address
2565 S Rochester Rd
Suite 105
Rochester Hills, MI 48307-4472
Phone
(586) 299-8900
Fax
(586) 299-8923
NPI assigned
Jun 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301006709 MI Primary

Addresses

Primary practice location

2565 S Rochester Rd
Suite 105
Rochester Hills, MI 48307-4472

Mailing address

2565 S Rochester Rd
Suite 105
Rochester Hills, MI 48307-4472
Phone (586) 299-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080911000409 MI Practitioner - Chiropractic 9537230750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

745 Barclay Cir
Suite 345
Rochester Hills, MI 48307-5811
Phone (248) 299-8900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2301006709MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester Hills Spine Care PC Chiropractor CurrentSince May 1, 2008 Accepting new patients
Brighton Spine Care PC Chiropractor PastSince Oct 1, 2007 Accepting new patients

Locations

745 Barclay Cir
Ste 345
Rochester Hills, MI 48307
Phone (248) 299-8900

2565 S Rochester Rd
Ste 105
Rochester Hills, MI 48307
Phone (248) 299-8900

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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233792000000",
    "number": "1861694085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2565 S ROCHESTER RD",
            "address_2": "SUITE 105",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074472",
            "telephone_number": "586-299-8900",
            "fax_number": "586-299-8923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 S ROCHESTER RD",
            "address_2": "SUITE 105",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074472",
            "telephone_number": "586-299-8900",
            "fax_number": "586-299-8923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATHER",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2009-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301006709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.