Individual provider Active NPI

Mark Clinton Means, D.C.

  • Chiropractor
  • N Ft Myers, FL
National Provider Identifier
1902817760
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0004247 Issued in FL
Practice address
150 Pondella Rd
N Ft Myers, FL 33903-3846
Phone
(239) 997-5007
Fax
(239) 997-2285
NPI assigned
Aug 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0004247 FL Primary

Addresses

Primary practice location

150 Pondella Rd
N Ft Myers, FL 33903-3846

Mailing address

2101 Club House Rd
N Ft Myers, FL 33917-2521
Phone (239) 543-3006

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110509000665 FL Practitioner - Chiropractic 0547446577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13180 N Cleveland Ave
Suite 116
North Fort Myers, FL 33903-6230
Phone (239) 997-5007

150 Pondella Rd
N Fort Myers, FL 33903-3846

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
CH0004247FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mark C. Means, D.C., P.a. Chiropractor CurrentSince Jan 1, 2013 Accepting new patients

Locations

13180 N Cleveland Ave
Ste 116
North Fort Myers, FL 33903
Phone (239) 433-1403

150 Pondella Rd
North Ft Myers, FL 33903
Phone (239) 560-9766

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902817760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 CLUB HOUSE RD",
            "city": "N FT MYERS",
            "state": "FL",
            "postal_code": "339172521",
            "telephone_number": "239-543-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PONDELLA RD",
            "city": "N FT MYERS",
            "state": "FL",
            "postal_code": "339033846",
            "telephone_number": "239-997-5007",
            "fax_number": "239-997-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEANS",
        "first_name": "MARK",
        "middle_name": "CLINTON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0004247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Ft Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.