MARK WADE DC
NPI 1407635196
Chiropractor in Pinellas Park, FL
About Mark Wade Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK WADE DC (NPI 1407635196) is an individual chiropractor in Pinellas Park, Florida, licensed in Florida (CH14706) and active in the NPI registry since September 2023.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mark Wade Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mark Wade reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tampa, FL 33614
- Reassigned Medicare billing, Florida enrollment
- 85 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mark Wade's NPI number?
The NPI number for Mark Wade is 1407635196. It was assigned to this individual provider in the NPPES registry on September 22, 2023.
Where is Mark Wade located?
Mark Wade practices at 6425 53rd St N Ste 6, Pinellas Park, FL 33781. The listed phone number is (727) 233-5268.
What is Mark Wade's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Mark Wade enrolled in Medicare?
Yes. Mark Wade is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mark Wade's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Wade reassigns Medicare benefits to Royal Palm Beach Rehab Corp (Tampa, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Wade's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mark Wade was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mark Wade, DC · NPI 1407635196
Chiropractor provider in Pinellas Park, Florida. Individual provider, active in the CMS NPPES registry since September 22, 2023.
## Identity
- **NPI:** 1407635196 (Entity type: Individual)
- **Enumerated:** September 22, 2023
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** CH14706 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6425 53RD ST N STE 6, Pinellas Park, FL 33781-5629
- **Phone:** (727) 233-5268
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Royal Palm Beach Rehab Corp (NPI 1437901253, Tampa, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1407635196) · Data from the CMS NPPES public registry.