Active NPI
Mark S Yarborough, D.C.
- Chiropractor
- Greer, SC
National Provider Identifier
1902834047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1182
- Practice address
- 611 E Wade Hampton Blvd
Suite B
Greer, SC 29651-1547 - Phone
- (864) 877-2042
- NPI assigned
- Jun 29, 2006
- Reactivated
- Feb 2, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1182 | SC | Primary |
Addresses
Primary practice location
611 E Wade Hampton Blvd
Suite B
Greer, SC 29651-1547
Mailing address
14330 E Wade Hampton Blvd
Suite B
Greer, SC 29651-1542
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1182 | SC | MD | Low Vision Rehabilitation Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Chiropractic and Massage Therapy LLC | Chiropractor | Past | 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 and National Provider Directory roles.
-
- Chiropractor
- Greer, SC
- NPI 1912201443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473984000000",
"number": "1902834047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14330 E WADE HAMPTON BLVD",
"address_2": "SUITE B",
"city": "GREER",
"state": "SC",
"postal_code": "296511542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 E WADE HAMPTON BLVD",
"address_2": "SUITE B",
"city": "GREER",
"state": "SC",
"postal_code": "296511547",
"telephone_number": "864-877-2042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YARBOROUGH",
"first_name": "MARK",
"middle_name": "S",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2016-09-16",
"deactivation_date": "2010-11-24",
"reactivation_date": "2011-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "1182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greer, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.