DR. MARK W. ROBERTS (NPI# 1255402046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255402046 |
| Entity Type | Individual |
| Full Name | DR. MARK W. ROBERTS |
| Credential | D.C.,DIPL.AC. |
| Practice Address |
345 E 500 S Bountiful UT 84010-4924 |
| Practice Telephone | 8012983226 |
| Mailing Telephone | 8012983226 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 158767-1202 | UT | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730677881 | Mark A Roberts | Preventive Medicine | 10552 N Watts Springs Park Rd, Edgerton, WI 53534-8947 | 2018-04-24 |
| 1164943551 | Mark Roberts | Physical Therapist | 3710 168th St Ne Ste A102, Arlington, WA 98223-8462 | 2017-07-06 |
| 1588094825 | Mark Roberts | Licensed Practical Nurse | 209 Carters Grove Rd, Centerville, OH 45459-2509 | 2013-11-23 |
| 1982899696 | Mark Charles Roberts | Dentist | 6025 Warner Ave, Huntington Beach, CA 92649 | 2007-09-06 |
| 1225194343 | Mark Roberts | Marriage & Family Therapist | 405 E 73rd St, New York, NY 10021-3865 | 2007-01-01 |
| 1689767691 | Mark A. Roberts | Family Medicine | 1240 81st Street South, St. Petersburg, FL 33707 | 2006-10-02 |
| 1922021435 | Mark Austin Roberts | Dentist | 210 Crestway St, Suite 106, Athens, TX 75751-2135 | 2006-07-25 |
| 1275565442 | Mark A Roberts | Family Medicine | 106 Edwina Street, Evergreen, AL 36401 | 2006-07-07 |
| 1497711105 | Mark D Roberts | Physician Assistant | 1201 Hewitt Dr Ste 203, Waco, TX 76712-8834 | 2006-04-21 |
| 1710968052 | Mark Allen Roberts | Chiropractor | 1404 W Frank Ave, Lufkin, TX 75904-3306 | 2005-11-11 |
| Street Address |
345 E 500 S |
| City | BOUNTIFUL |
| State | UT |
| Zip Code | 84010-4924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699192 | Jessyca K Willie | Behavior Technician | 415 S. Medical Drive Suite D101, Bountiful, UT 84010 | 2019-06-21 |
| 1336634344 | Shanna Joy Jaggers | Social Worker | 2333 S 200 E, Bountiful, UT 84010 | 2018-06-22 |
| 1447773171 | Live Life Alarms | Emergency Response System Companies | 640 South 500 West, Bountiful, UT 84010 | 2017-07-25 |
| 1902328842 | Hailey Embley | Behavior Technician | 415 Medical Drive D 101, Bountiful, UT 84010 | 2017-07-12 |
| 1508318031 | Beverly Nielsen | Psychologist | 1001 Lakeview Drive, Bountiful, UT 84010 | 2016-11-01 |
| 1295287720 | Samantha Oslund | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010 | 2016-11-01 |
| 1750748273 | Jeremy Clark Morris | Dentist | 59 W 1600 N, Suite 110, Bountiful, UT 84010 | 2016-01-28 |
| 1629464706 | Shane James | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010 | 2015-04-15 |
| 1891186102 | Kenton Francis | Social Worker | 1355 North Main Street #1, Bountiful, UT 84010 | 2015-02-09 |
| 1205233855 | Modern Dental Professionals - Utah, PC | Dentist | 24 S. 500 West, #a, Bountiful, UT 84010 | 2014-11-25 |
| Find all providers in zip 84010 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881136620 | Hands for Life Bountiful | Chiropractor | 535 W 500 S, Ste 1, Bountiful, UT 84010-8176 | 2016-11-10 |
| 1831492917 | Clint J. Grover | Chiropractor | 535 W 500 S Ste 1, Bountiful, UT 84010-8176 | 2010-12-13 |
| 1447459664 | Richard S Uhl | Chiropractor | 1582 N 150 W, Bountiful, UT 84010-5949 | 2007-07-17 |
| 1093919359 | Bradley Jay Devereaux | Chiropractor | 190 W 100 S, Suite A, Bountiful, UT 84010-6205 | 2007-06-12 |
| 1427262195 | Canyon Ridge Chiropractic, Inc. | Chiropractor | 425 S Medical Dr, Suite 216, Bountiful, UT 84010-4945 | 2007-05-10 |
| 1366656613 | Peak Wellness Inc | Chiropractor | 544 West 750 South, Suite D, Bountiful, UT 84010-7267 | 2007-05-09 |
| 1063548501 | Michael Lindstrom | Chiropractor | 651 W 3600 S, Bountiful, UT 84010-8338 | 2007-02-26 |
| 1194877266 | Jerald Wilson Duggar | Chiropractor | 485 S 100 E, Bountiful, UT 84010-4903 | 2007-01-17 |
| 1831202282 | Roger Max Neumann | Chiropractor | 1480 South Orchard Dr, Bountiful, UT 84010-5108 | 2006-08-17 |
| 1497764914 | Wayne Merlin Olsen | Chiropractor | 1355 N Main St, Suite 6, Bountiful, UT 84010-5981 | 2006-08-05 |
| Find all providers in BOUNTIFUL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.