Shaun Mar DC LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SHAUN MAR DC LLC

Doing business as

Elite Chiropractic and Rehab

Practice address

135 E Calderwood Dr Ste 110
Meridian, ID 83642-7963

Phone

(208) 844-0475

Fax

(208) 550-3461

NPI assigned

Feb 4, 2019

Last updated

Jan 16, 2024By 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

Shaun Mar, DCNPI 1952807836

Title

Owner

Phone

(208) 918-2011

Specialties & licenses 1

Addresses

Other names 1

• Elite Chiropractic and Rehab Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

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.

• Shaun Mar, DC

  • Chiropractor
  • Meridian, ID
  • NPI 1952807836
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1477018489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 E CALDERWOOD DR STE 110",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427963",
            "telephone_number": "208-844-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 E CALDERWOOD DR STE 110",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427963",
            "telephone_number": "208-844-0475",
            "fax_number": "208-550-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAUN MAR DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-04",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "MAR",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-918-2011",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Chiropractic and Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elite Chiropractic and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• April Louise Shalz
• Jennifer T Shalz, MD
• Amit Sharma, MD, FACP, FASN
• Jessica Kelly Sharma, MAE
• Johnathan August Sharrette, PHD
• Kyla Ashley Shaver, FNP
• Emma Shaw, M.A.
• Rebecca D Shaw, CFA
• Sharilyn M Shaw, LMT
• Sheridan Shaw, DNP, NP-C

• Chiropractor in Meridian, ID
• Providers in Meridian, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.