Individual provider Active NPI

Mark Springer, DC

  • Chiropractor
  • Santa Rosa Beach, FL
National Provider Identifier
1881856318
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 9550 Issued in FL
Practice address
2441 US Highway 98 W
Suite 103
Santa Rosa Beach, FL 32459-5385
Phone
(850) 622-0062
Fax
(850) 622-0007
NPI assigned
Jun 26, 2008
Last updated
Jan 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 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 CH 9550 FL Primary

Addresses

Primary practice location

2441 US Highway 98 W
Suite 103
Santa Rosa Beach, FL 32459-5385

Mailing address

4221 N Himes Ave
Tampa, FL 33607-6229
Phone (813) 874-7217

Other identifiers 1

IdentifierTypeStateIssuer
89528OtherFLBLUE CROSS BLUE SHIELD

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
CH 9550FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Stuber Chiropractic & Acupuncture LLC Chiropractor PastSince Oct 2, 2018 Accepting new patients

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": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452729600000",
    "number": "1881856318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 N HIMES AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076229",
            "telephone_number": "813-874-7217",
            "fax_number": "813-769-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 US HIGHWAY 98 W",
            "address_2": "SUITE 103",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324595385",
            "telephone_number": "850-622-0062",
            "fax_number": "850-622-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRINGER",
        "first_name": "MARK",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2016-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 9550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "89528",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.