Individual provider Active NPI

Mark Oliver Day Sr., D.C., CSCS, DACBSP

  • Sports Physician Chiropractor
  • Maysville, KY
National Provider Identifier
1952301152
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
249851 Issued in KY
Practice address
151 E 3Rd St
Maysville, KY 41056-1271
Phone
(606) 564-6831
Fax
(606) 564-8300
NPI assigned
Jul 28, 2005
Last updated
Jun 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 1787 OH
Sports Physician Chiropractor 111NS0005X 249851 KY Primary

Addresses

Primary practice location

151 E 3Rd St
Maysville, KY 41056-1271

Mailing address

151 E 3Rd St
Maysville, KY 41056-1271
Phone (606) 564-6831

Other identifiers 5

IdentifierTypeStateIssuer
000000016455OtherKYANTHEM PROVIDER NUMBER
000000016455OtherOHANTHEM PROVIDER NUMBER
0868717MedicaidOH
311345271OtherTAX ID OTHER INS. NUMBER
85001352MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060110000566 KY Practitioner - Chiropractic 3274556873 Practice locations: Maysville, KY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

151 E 3Rd St
Maysville, KY 41056-1271
Phone (606) 564-6831

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
249851KYMDSports Physician Chiropractor
1787OHMDSports Physician Chiropractor
4151KYMDPediatric Ophthalmology and Strabismus Specialist Physician Physician

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1952301152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 E 3RD ST",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410561271",
            "telephone_number": "606-564-6831",
            "fax_number": "606-564-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 E 3RD ST",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410561271",
            "telephone_number": "606-564-6831",
            "fax_number": "606-564-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAY",
        "first_name": "MARK",
        "middle_name": "OLIVER",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "D.C., CSCS, DACBSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "OH",
            "license": "1787",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "KY",
            "license": "249851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000016455",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000016455",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0868717",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID OTHER INS. NUMBER",
            "identifier": "311345271",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85001352",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maysville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.