Active NPI
Mark J Stubbendieck DC Inc
- Chiropractor
- Medina, OH
National Provider Identifier
1871869289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1935
- Legal business name
- MARK J STUBBENDIECK DC INC
- Practice address
- 257 S Court St
Ste 5a
Medina, OH 44256-2295 - Phone
- (330) 725-4060
- NPI assigned
- Mar 29, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark Stubbendieck, DC
- Title
- Owner
- Phone
- (330) 725-4060
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1935 | OH | Primary |
Addresses
Primary practice location
257 S Court St
Ste 5a
Medina, OH 44256-2295
Mailing address
257 S Court St
Ste 5a
Medina, OH 44256-2295
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2657665 | Medicaid | OH |
National Provider Directory
National Provider Directory- Tax ID family
- Mark J Stubbendieck DC Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Chiropractor
- Medina, OH
- NPI 1609315571
-
- Chiropractor
- Medina, OH
- NPI 1699033621
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Medina, OH
- NPI 1841349834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1334793600000",
"number": "1871869289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "257 S COURT ST",
"address_2": "STE 5A",
"city": "MEDINA",
"state": "OH",
"postal_code": "442562295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "257 S COURT ST",
"address_2": "STE 5A",
"city": "MEDINA",
"state": "OH",
"postal_code": "442562295",
"telephone_number": "330-725-4060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK J STUBBENDIECK DC INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-29",
"last_updated": "2012-04-19",
"status": "A",
"authorized_official_last_name": "STUBBENDIECK",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "330-725-4060",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "OH",
"license": "1935",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2657665",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Medina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.