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Deactivated NPI 1265586952 Deactivated / Inactive NPI Male Practitioner

Dr. Martin Dale Mack , DC

Chiropractor • Grants Pass, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Martin Mack has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 22, 2007
NPI Deactivation Date February 20, 2017
Total Practice Duration ~10 Years of Practice (2007 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Martin Mack, DC was a registered Chiropractor practicing in Grants Pass, OR. Throughout an active medical career spanning 10 years, Dr. Mack provided care at the practice location at 255 BAYARD DR until profile deactivation on 2017-02-20.

Practice Location & Contact Primary Location

Practice Address

255 Bayard Dr
Unit A

Grants Pass, OR 975279096

Telephone 5419554749

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Grants Pass, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.9 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
30 Specialists

Practicing in Grants Pass, OR (1950 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License OR 3695

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 20, 2017

Record deactivated on February 20, 2017

NPI Profile Active January 30, 2008

NPI status registered as active in NPPES database

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Updated Practice Location January 30, 2008

Registered at 255 BAYARD DR, UNIT A, GRANTS PASS, OR 975279096 (Tel: 5419554749)

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Updated Business Mailing Address January 30, 2008

Registered at 8401 OLD STAGE RD, UNIT 62, CENTRAL POINT, OR 975029785 (Tel: 5418558765)

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Provider Name / Credentials Updated January 30, 2008

Recorded as MARTIN MACK, D.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2008

Chiropractor (License #3695 in OR)

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Initial NPI Registration & Enumeration January 22, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265586952
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2007
Last Update: January 30, 2008
Deactivation Date: February 20, 2017

Mailing Address

8401 Old Stage Rd, Unit 62

Central Point, OR 975029785

Phone: 5418558765

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.