Mark W Pewe

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

415 Issued in ND

Legal business name

MARK W PEWE

Doing business as

Chiropractic Arts

Practice address

909 11 St E
Bottineau, ND 58318

Phone

(701) 228-2275

Fax

(701) 228-3080

NPI assigned

Dec 24, 2007

Last updated

Dec 24, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lisa Ann Vad

Title

Manager

Phone

(701) 228-2275

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• CHIROPRACTIC ARTS Doing business as

Tax ID family

Chiropractic Arts2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Chiropractic Arts

  • Clinic/Center
  • Bottineau, ND
  • NPI 1447665930
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marvin Myron Eberts, D.C

  • Chiropractor
  • Dickinson, ND
  • NPI 1841526688
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198454400000",
    "number": "1053595223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59",
            "city": "BOTTINEAU",
            "state": "ND",
            "postal_code": "583180059",
            "telephone_number": "701-228-2275",
            "fax_number": "701-228-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 11 ST E",
            "city": "BOTTINEAU",
            "state": "ND",
            "postal_code": "58318",
            "telephone_number": "701-228-2275",
            "fax_number": "701-228-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK W PEWE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A",
        "authorized_official_last_name": "VAD",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "701-228-2275"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10276",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14716",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHIROPRACTIC ARTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracy L Larson, NP
• Liebold Dental PLLC (Liebold Dental)
• David Allan Liebold, DDS
• Victoria Lynn Lorenz
• Michael George Mack, D.C.
• Brenda Marquardt, A.N.P.
• Deeanne McGuire, RN
• Modern Esthetics & Dermatology, PLLC
• Vilma Moncera
• Molly Ann Motschenbacher

• Chiropractor in Bottineau, ND
• Providers in Bottineau, ND by specialty
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.