Active NPI
Mario E Roxas, N.D.
- Naturopath
- Ponderay, ID
National Provider Identifier
1083949531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 0982
- Practice address
- 476864 Highway 95
Suite #3
Ponderay, ID 83852-5000 - Phone
- (208) 946-0984
- Fax
- (208) 246-4995
- NPI assigned
- Oct 15, 2009
- Last updated
- Oct 15, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 0982 | OR | Primary |
| Naturopath | 175F00000X | NT00001638 | WA |
Addresses
Primary practice location
476864 Highway 95
Suite #3
Ponderay, ID 83852-5000
Mailing address
1501 Ponderosa Dr
Sandpoint, ID 83864-8280
Phone (208) 946-0984
Other names 1
- Dr. Marion E Roxas
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0982 | OR | MD | Naturopath |
| NT00001638 | WA | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255564800000",
"number": "1083949531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 PONDEROSA DR",
"city": "SANDPOINT",
"state": "ID",
"postal_code": "838648280",
"telephone_number": "208-946-0984",
"fax_number": "208-246-4995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "476864 HIGHWAY 95",
"address_2": "SUITE #3",
"city": "PONDERAY",
"state": "ID",
"postal_code": "838525000",
"telephone_number": "208-946-0984",
"fax_number": "208-246-4995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROXAS",
"first_name": "MARIO",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "N.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-15",
"last_updated": "2009-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "0982",
"primary": true
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "WA",
"license": "NT00001638",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARION",
"last_name": "ROXAS",
"middle_name": "E",
"prefix": "DR.",
"credential": "N.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Ponderay, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.