Organization Active NPI

Belnap Chiropractic, P.a.

  • Chiropractor
  • Pocatello, ID
National Provider Identifier
1154514453
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA827 Issued in ID
Legal business name
BELNAP CHIROPRACTIC, P.A.
Practice address
521 E Halliday St
Pocatello, ID 83201-6563
Phone
(208) 233-3838
Fax
(208) 478-1552
NPI assigned
Aug 21, 2007
Last updated
Jan 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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

Authorized official

Name
Dr. Mark E Belnap, DC (CCEPNPI 1831249416
Title
President
Phone
(208) 233-3838

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIA827 ID Primary

Addresses

Primary practice location

521 E Halliday St
Pocatello, ID 83201-6563

Mailing address

521 E Halliday St
Pocatello, ID 83201-6563
Phone (208) 233-3838

Other identifiers 4

IdentifierTypeStateIssuer
C9721OtherIDBLUE CROSS OF IDAHO
010025813OtherIDREGENCE
350056584OtherIDRAIL ROAD MEDICARE
C5736OtherIDBLUE CROSS OF IDAHO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060324000608 ID Part B Supplier - Clinic/Group Practice 2668480195 Receives reassigned benefits from 1 practitioner
Practice locations: Pocatello, ID

National Provider Directory

National Provider Directory

Locations

521 E Halliday St
Pocatello, ID 83201
Phone (208) 233-3838

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1154514453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 E HALLIDAY ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832016563",
            "telephone_number": "208-233-3838",
            "fax_number": "208-478-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 E HALLIDAY ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832016563",
            "telephone_number": "208-233-3838",
            "fax_number": "208-478-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELNAP CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "BELNAP",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-233-3838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC (CCEP"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "C9721",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "010025813",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "350056584",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "C5736",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.