Organization Active NPI

Mark D McClure Inc

  • Chiropractor
  • Middletown, OH
National Provider Identifier
1932114659
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1095 Issued in OH
Legal business name
MARK D MCCLURE INC
Practice address
182 N Breiel Blvd
Suite a
Middletown, OH 45042-3802
Phone
(513) 423-7855
Fax
(513) 422-4103
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Authorized official

Name
Dr. Mark Douglas McClure, DC
Title
Chiropractor
Phone
(513) 423-7855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1095 OH Primary

Addresses

Primary practice location

182 N Breiel Blvd
Suite a
Middletown, OH 45042-3802

Mailing address

182 N Breiel Blvd
Suite a
Middletown, OH 45042-3802
Phone (513) 423-7855

Other identifiers 1

IdentifierTypeStateIssuer
0950958MedicaidOH

National Provider Directory

National Provider Directory

Locations

182 N Breiel Blvd
Middletown, OH 45042
Phone (513) 423-1429

2 N Main St
Fl 4
Middletown, OH 45042
Phone (513) 594-7299

182 N Breiel Blvd
Ste A
Middletown, OH 45042
Phone (513) 423-7855

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1932114659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 N BREIEL BLVD",
            "address_2": "SUITE A",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450423802",
            "telephone_number": "513-423-7855",
            "fax_number": "513-422-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 N BREIEL BLVD",
            "address_2": "SUITE A",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450423802",
            "telephone_number": "513-423-7855",
            "fax_number": "513-422-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK D MCCLURE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCLURE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "513-423-7855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0950958",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.