Mark Allan Havertape, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

A05832 Issued in IA

Practice address

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

Phone

(319) 364-6387

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mark a. Havertape P.C.Group PAC ID 3678542446, 2 clinicians

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 and National Provider Directory roles.

• Mark a. Havertape P.C.

  • Chiropractor
  • Cedar Rapids, IA
  • NPI 1831297472
  Medicare reassignment Care Compare group NPD Authorized official
• Mind, Body & Spirit Chiropractic, PLC

  • Chiropractor
  • Cedar Rapids, IA
  • NPI 1871743005
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1881613495",
    "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": {
        "last_name": "HAVERTAPE",
        "first_name": "MARK",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0125369",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shauna Rae Hatchitt, ARNP
• Ross Hauser
• April Lynn Haven, ARNP
• Craig Allan Havermann, PTA
• Austin Michael Havertape
• Norma Havlik-Smith
• Patrick J Hawkes, M.D.
• Hawkeye Anesthesia PLLC
• Kelly Hawthorne
• Stephanie Hay, PHARMD

• 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 Jul 9, 2007; 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.