Individual provider Active NPI

Lucas Marz

  • Chiropractor
  • Moorhead, MN
National Provider Identifier
1891116851
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
957 Issued in ND
Practice address
3505 8TH St S
Suite 6
Moorhead, MN 56560-5108
Phone
(218) 236-1516
Fax
(218) 331-0077
NPI assigned
Dec 18, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 957 ND Primary

Addresses

Primary practice location

3505 8TH St S
Suite 6
Moorhead, MN 56560-5108

Mailing address

3505 8TH St S
Suite 6
Moorhead, MN 56560-5108
Phone (218) 236-1516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140523001624 MN Practitioner - Chiropractic 5193948990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern University Feinberg Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marz Chiropractic PCGroup PAC ID 2567685365, 2 clinicians

Practice addresses (Care Compare)

3505 8TH St S
Suite 6
Moorhead, MN 56560-5108
Phone (218) 236-1516

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
957NDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Marz Chiropractic PC Chiropractor CurrentSince May 5, 2014 Accepting new patients
Riverview Chiropractic Clinic PA Chiropractor PastSince May 5, 2014 Accepting new patients

Locations

3505 8th St S
Ste 6
Moorhead, MN 56560
Phone (218) 236-1516

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398902400000",
    "number": "1891116851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 8TH ST S",
            "address_2": "SUITE 6",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605108",
            "telephone_number": "218-236-1516",
            "fax_number": "218-331-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 8TH ST S",
            "address_2": "SUITE 6",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605108",
            "telephone_number": "218-236-1516",
            "fax_number": "218-331-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARZ",
        "first_name": "LUCAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-18",
        "last_updated": "2014-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorhead, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; 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.