Organization Active NPI

Mark F. Lavallie, D.C.

  • Chiropractor
  • Saint Paul, MN
National Provider Identifier
1164662391
Registry record updated Feb 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1753 Issued in MN
Legal business name
MARK F. LAVALLIE, D.C.
Practice address
261 Ruth St N Ste 108
Saint Paul, MN 55119-4337
Phone
(651) 714-4848
Fax
(651) 739-8452
NPI assigned
Feb 27, 2009
Last updated
Feb 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2009

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

Authorized official

Name
Dr. Mark F Lavallie, D.C.NPI 1477581742
Title
President
Phone
(651) 714-4848

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 1753 MN Primary

Addresses

Primary practice location

261 Ruth St N Ste 108
Saint Paul, MN 55119-4337

Mailing address

261 Ruth St N Ste 108
Saint Paul, MN 55119-4337
Phone (651) 714-4848

Other names 1

  • Battle Creek Chiropractic Other name

National Provider Directory

National Provider Directory
Tax ID family
Battle Creek Chiropractic2 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.

Locations

261 Ruth St N
Ste 108
Saint Paul, MN 55119
Phone (651) 714-4848

Practitioners & affiliated clinicians

Practitioners 2

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": "1235692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235692800000",
    "number": "1164662391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 RUTH ST N STE 108",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551194337",
            "telephone_number": "651-714-4848",
            "fax_number": "651-739-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 RUTH ST N STE 108",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551194337",
            "telephone_number": "651-714-4848",
            "fax_number": "651-739-8452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK F. LAVALLIE, D.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-27",
        "last_updated": "2009-02-27",
        "status": "A",
        "authorized_official_last_name": "LAVALLIE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-714-4848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "1753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Battle Creek Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.

Verify at the official NPI Registry.