MARK DIAZ D.C. P.C. (NPI# 1295013944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295013944 |
| Entity Type | Organization |
| Organization Name | MARK DIAZ D.C. P.C. |
| Other Organization Name | ASH CREEK CHIROPRACTIC |
| Practice Address |
226 S Main St Ste C Independence OR 97351-2070 |
| Practice Telephone | 5038381951 |
| Practice Fax Number | 5036062087 |
| Mailing Telephone | 5038381951 |
| Mailing Fax Number | 5036062087 |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2011-07-29 |
| Authorized Official Name | DR. MARK JEFFERY DIAZ (PRESIDENT) |
| Authorized Official Telephone | 5038381951 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3816 | OR | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INDIVIDUAL NPI | 1245405893 | 01 |
| Other Name | Type Code |
|---|---|
| Ash Creek Chiropractic | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | MARK DIAZ DC PC | 226 S Main St Ste D, Independence, OR 97351 |
| Street Address |
226 S MAIN ST STE C |
| City | INDEPENDENCE |
| State | OR |
| Zip Code | 97351-2070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245405893 | Mark Jeffrey Diaz | Chiropractor | 226 S Main St, Suite C, Independence, OR 97351-2070 | 2008-04-24 |
| 1356715999 | Jennifer Joan Russell | Massage Therapist | 226 S Main St, Suite J, Independence, OR 97351-2070 | 2015-11-19 |
| 1265864433 | Arthur A Peters | Specialist | 226 S Main St, Independence, OR 97351-2070 | 2013-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598868515 | Independence-monmouth Family Medicine PC | Family Medicine | 1430 Monmouth St, Independence, OR 97351 | 2006-09-06 |
| 1821070111 | Kenneth R Winokur | Dentist | 329 South Main St, Independence, OR 97351 | 2005-11-14 |
| 1710044144 | Kenneth R Winokur Dmd PC | Dentist | 329 S Main St, Independence, OR 97351 | 2007-01-03 |
| 1407959422 | Keith Allen White | Family Medicine | 1430 Monmouth St, Independence, OR 97351 | 2006-09-06 |
| 1609901024 | Evan L Evans | Audiologist | 1343 A Monmouth St, Independence, OR 97351-0248 | 2007-02-23 |
| 1497703201 | Evergreen Oregon Healthcare Independence, L.L.C. | Skilled Nursing Facility | 1525 Monmouth St, Independence, OR 97351-1007 | 2006-05-04 |
| 1518127844 | David Patrick Mcdarby | Physical Therapist | 1525 Monmouth St, Independence, OR 97351-1007 | 2008-06-10 |
| 1881854115 | Bobbi Jo Shrum | Physical Therapy Assistant | 1525 Monmouth St, Independence, OR 97351-1007 | 2008-06-10 |
| 1639426208 | Central School District 13j | Local Education Agency (LEA) | 1610 Monmouth St, Independence, OR 97351-1008 | 2012-08-13 |
| 1851645931 | Holli Watkin | Nurse Practitioner | 1601 Monmouth St Ste 100, Independence, OR 97351-1019 | 2012-10-29 |
| Find all providers in zip 97351 | ||||
| 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 |
|---|---|---|---|---|
| 1366088296 | Jennifer Lynn Shafer | Chiropractor | 19550 E 39th St S Ste 235, Independence, MO 64057-2305 | 2019-11-26 |
| 1942844972 | Shelby Cuellar | Chiropractor | 2051 Centennial Boulevard, Independence, KY 41051 | 2019-11-02 |
| 1710485925 | Paramount Health LLC | Chiropractor | 20100 E Jackson Dr Ste A, Independence, MO 64057-2120 | 2018-01-23 |
| 1982019840 | Timothy Paul Sullivan | Chiropractor | 17000 E Us Highway 40 Ste 7, Independence, MO 64055-5394 | 2014-06-30 |
| 1215370556 | Bryan Craig Baker | Chiropractor | 13723 E 39th St S, Independence, MO 64055-3321 | 2013-04-16 |
| 1881933356 | Certain Care Inc. | Chiropractor | 411 E 23rd St S, Suite D, Independence, MO 64055-1580 | 2013-02-04 |
| 1487906889 | Null Chiropractic LLC | Chiropractor | 204 E Chestnut St, Independence, KS 67301-3132 | 2012-10-09 |
| 1811246242 | Independence Chiropractic, Inc. | Chiropractor | 1922 Walton Nichoolson Road, Independence, KY 41051 | 2012-08-30 |
| 1255691507 | David Michael Opperman | Chiropractor | 14810 E 42nd St S Ste 100, Independence, MO 64055-4890 | 2012-05-21 |
| 1982979167 | Absolutely Chiropractic & Acupuncture, LLC | Chiropractor | 921 E Stone St, Independence, MO 64050-4664 | 2012-03-20 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 97351 |
Please comment or provide details below to improve the information on MARK DIAZ D.C. P.C..
| 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.