NPIMap

Organization Active NPI

Marz Chiropractic PC

Doing business as Riverview Chiropractic Clinic

  • Chiropractor
  • Moorhead, MN
National Provider Identifier
1952711764
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MARZ CHIROPRACTIC PC
Doing business as
Riverview Chiropractic Clinic
Practice address
3505 8TH St S
Suite 6
Moorhead, MN 56560-5108
Phone
(218) 236-1516
Fax
(218) 331-0077
NPI assigned
May 1, 2014
Organization subpart
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

Authorized official

Name
Dr. Lucas Jeffrey Marz, D.C.NPI 1891116851
Title
Co-Owner
Phone
(507) 276-9311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Other names 1

  • Riverview Chiropractic Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140523001370 MN Part B Supplier - Clinic/Group Practice 2567685365 Receives reassigned benefits from 2 practitioners
Practice locations: Moorhead, MN

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1398902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398902400000",
    "number": "1952711764",
    "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": {
        "organization_name": "MARZ CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-01",
        "last_updated": "2014-05-01",
        "status": "A",
        "authorized_official_last_name": "MARZ",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "507-276-9311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverview Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.