Individual provider Active NPI

Mark D. Roberts, D.C

  • Rehabilitation Chiropractor
  • Easton, MD
National Provider Identifier
1982825261
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
SO1228 Issued in MD
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

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5470-0001OtherMDCFBC
689447OtherUHC
20BRMDOtherMDBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070718000178 MD Practitioner - Chiropractic 8729189915 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
1228MDMDClinical Psychologist
SO1228MDMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Arts Center of Maryland LLC CurrentSince Jul 1, 2007 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.

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.

Verify at the official NPI Registry.