Active NPI
Mark D. Roberts, D.C
- Rehabilitation Chiropractor
- Easton, MD
National Provider Identifier
1982825261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- SO1228
- Practice address
- 8603 Commerce Dr Ste 8
Easton, MD 21601-4207 - Phone
- (410) 822-0933
- Fax
- (410) 822-6984
- NPI assigned
- May 2, 2007
- 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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | SO1228 | MD | Primary |
Addresses
Primary practice location
8603 Commerce Dr Ste 8
Easton, MD 21601-4207
Mailing address
8603 Commerce Dr Ste 8
Easton, MD 21601-4207
Phone (410) 822-0933
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5470-0001 | Other | MD | CFBC |
| 689447 | Other | UHC | |
| 20BRMD | Other | MD | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8603 Commerce Dr
Easton, MD 21601-4207
Phone (410) 822-0933
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1228 | MD | MD | Clinical Psychologist |
| SO1228 | MD | MD | Rehabilitation Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Arts Center of Maryland LLC | Current | Accepting new patients |
Locations
8603 Commerce Dr
Ste 8
Easton, MD 21601
Phone (410) 822-0933
5022 Campbell Blvd
Ste D
Nottingham, MD 21236
Phone (410) 931-2096
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
- Easton, MD
- NPI 1831118033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1982825261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8603 COMMERCE DR STE 8",
"city": "EASTON",
"state": "MD",
"postal_code": "216014207",
"telephone_number": "410-822-0933",
"fax_number": "410-822-6984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8603 COMMERCE DR STE 8",
"city": "EASTON",
"state": "MD",
"postal_code": "216014207",
"telephone_number": "410-822-0933",
"fax_number": "410-822-6984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "MARK",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "MD",
"license": "SO1228",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CFBC",
"identifier": "5470-0001",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "689447",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "20BRMD",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Easton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.