Active NPI
Greg Marvin Mess, DC
- Chiropractor
- Fruitland, ID
National Provider Identifier
1508986894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIA833
- Practice address
- 2210 N Whitley Dr
Fruitland, ID 83619-2131 - Phone
- (208) 452-3352
- Fax
- (208) 452-3355
- NPI assigned
- Mar 30, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHII833 | ID | |
| Chiropractor | 111N00000X | 273040 | OR | |
| Chiropractor | 111N00000X | CHIA833 | ID | Primary |
Addresses
Primary practice location
2210 N Whitley Dr
Fruitland, ID 83619-2131
Mailing address
PO Box 107
Fruitland, ID 83619-0107
Phone (208) 452-3352
Other practice location 1
187 N Oregon St
Ontario, OR 97914
Phone (541) 889-3011
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIA833 | ID | MD | Chiropractor |
| CHII833 | ID | MD | Chiropractor |
| 273040 | OR | MD | Chiropractor |
| 3040 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dinsmore Chiropractic Clinic PC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Ontario, OR
- NPI 1205954633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578182400000",
"number": "1508986894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 107",
"city": "FRUITLAND",
"state": "ID",
"postal_code": "836190107",
"telephone_number": "208-452-3352",
"fax_number": "208-452-3355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 N WHITLEY DR",
"city": "FRUITLAND",
"state": "ID",
"postal_code": "836192131",
"telephone_number": "208-452-3352",
"fax_number": "208-452-3355"
}
],
"practiceLocations": [
{
"address_1": "187 N Oregon St",
"address_purpose": "LOCATION",
"city": "Ontario",
"state": "OR",
"postal_code": "97914",
"country_code": "US",
"telephone_number": "541-889-3011",
"fax_number": "541-889-6565",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MESS",
"first_name": "GREG",
"middle_name": "MARVIN",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-30",
"last_updated": "2020-01-05",
"certification_date": "2020-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "CHII833",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "273040",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fruitland, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.