MARK D WHITEHEAD (D.C.) – Chiropractor, NPI 1902869456

MARK D WHITEHEAD (D.C.) is a healthcare provider. based in Marion, Illinois. specializing in Chiropractor. They hold the professional credentials D.C.. The NPI Number for MARK D WHITEHEAD (D.C.) is 1902869456

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
MARK D WHITEHEAD (D.C.)
NPI
1902869456
Phone
(618) 997-5000
Address
2103 W MAIN ST
Enumeration Date
7 April 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
LOGAN COLLEGE OF CHIROPRACTIC
Secondary Phone
6189975000
Graduation Year
1987 (39 years ago)
PAC ID
6709041114
Professional Enrollment ID
I20120710000765
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for MARK D WHITEHEAD (D.C.)

  • 2103, West Main Street, Marion, Williamson County, Illinois, 62959, United States

    MARION, IL 629591163

    Phone: (618) 997-5000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-07-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120710000765IChiropracticILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62959)

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Reviews

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Frequently asked questions

Does MARK D WHITEHEAD (D.C.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MARK D WHITEHEAD (D.C.) uses 1902869456.
Does CMS list MARK D WHITEHEAD (D.C.) as active?
Yes — MARK D WHITEHEAD (D.C.) is active in the NPI listing used on this page.
What healthcare role does MARK D WHITEHEAD (D.C.) hold?
Scheduling teams often label MARK D WHITEHEAD (D.C.) under Chiropractor. Clinical services aligned with this taxonomy classification.
Where is MARK D WHITEHEAD (D.C.) based?
MARK D WHITEHEAD (D.C.) is tied to Marion, Illinois in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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