Individual provider Active NPI

Mark Steven Pepin, D.C.

  • Chiropractor
  • Village of Palmetto Bay, FL
National Provider Identifier
1871606012
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6601 Issued in FL
Practice address
9044 SW 152ND St
Village of Palmetto Bay, FL 33157-1928
Phone
(305) 255-2499
Fax
(305) 252-9849
NPI assigned
Aug 15, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH6601 FL Primary
Internist Chiropractor 111NI0900X CH0006601 FL

Addresses

Primary practice location

9044 SW 152ND St
Village of Palmetto Bay, FL 33157-1928

Mailing address

9044 SW 152ND St
Village of Palmetto Bay, FL 33157-1928
Phone (305) 255-2499

Other identifiers 2

IdentifierTypeStateIssuer
55176OtherFLJMH
657081OtherFLACN/UNITED HEATHCARE

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
CH6601FLMDChiropractor

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1871606012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9044 SW 152ND ST",
            "city": "VILLAGE OF PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571928",
            "telephone_number": "305-255-2499",
            "fax_number": "305-252-9849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9044 SW 152ND ST",
            "city": "VILLAGE OF PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571928",
            "telephone_number": "305-255-2499",
            "fax_number": "305-252-9849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPIN",
        "first_name": "MARK",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6601",
            "primary": true
        },
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "FL",
            "license": "CH0006601",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JMH",
            "identifier": "55176",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN/UNITED HEATHCARE",
            "identifier": "657081",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Village of Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.