Individual provider Active NPI

Mark Christopher Yezak, DC

  • Chiropractor
  • The Woodlands, TX
National Provider Identifier
1881668267
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC7094 Issued in TX
Practice address
3101 College Park Dr
#100
The Woodlands, TX 77384-4099
Phone
(281) 362-0006
Fax
(281) 362-0233
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC7094 TX Primary

Addresses

Primary practice location

3101 College Park Dr
#100
The Woodlands, TX 77384-4099

Mailing address

25910 Haven Lake Dr
Tomball, TX 77375-2673
Phone (832) 434-9300

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
DC7094TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Spine & Rehabilitation Centers Chiropractor Past Accepting new patients
Houston Spine & Rehabilitation Affiliates, PLLC Past Accepting new patients

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, 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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1881668267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25910 HAVEN LAKE DR",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773752673",
            "telephone_number": "832-434-9300",
            "fax_number": "281-362-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 COLLEGE PARK DR",
            "address_2": "#100",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773844099",
            "telephone_number": "281-362-0006",
            "fax_number": "281-362-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEZAK",
        "first_name": "MARK",
        "middle_name": "CHRISTOPHER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC7094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.