Individual provider Active NPI

Mark L Legnola, D.C.

  • Chiropractor
  • Blue Bell, PA
National Provider Identifier
1982606752
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC006991-L Issued in PA
Practice address
1717 Swede Rd
Suite 106
Blue Bell, PA 19422-3375
Phone
(484) 688-0664
Fax
(484) 688-0667
NPI assigned
Aug 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC006991-L PA Primary

Addresses

Primary practice location

1717 Swede Rd
Suite 106
Blue Bell, PA 19422-3375

Mailing address

1717 Swede Rd
Suite 106
Blue Bell, PA 19422-3375
Phone (484) 688-0664

Other identifiers 2

IdentifierTypeStateIssuer
2457323OtherPAAETNA PIN
0395472000OtherPAKEYSTONE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050601000185 PA Practitioner - Chiropractic 7810939816 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legnola and Marcussen Chiropractic AssociatesGroup PAC ID 6406884204, 3 clinicians

Practice addresses (Care Compare)

1717 Swede Rd
Suite 106
Blue Bell, PA 19422-3372
Phone (484) 688-0664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC006991-LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Chiropractic LMC2 LLC Chiropractor CurrentSince Jul 1, 2024 Accepting new patients

Locations

1717 Swede Rd
Ste 106
Blue Bell, PA 19422
Phone (484) 688-0664

617 N Bethlehem Pike
Ste C
Lower Gwynedd, PA 19002
Phone (215) 643-0700

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1982606752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 SWEDE RD",
            "address_2": "SUITE 106",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194223375",
            "telephone_number": "484-688-0664",
            "fax_number": "484-688-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 SWEDE RD",
            "address_2": "SUITE 106",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194223375",
            "telephone_number": "484-688-0664",
            "fax_number": "484-688-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGNOLA",
        "first_name": "MARK",
        "middle_name": "L",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006991-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "2457323",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "0395472000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Bell, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.