Organization Active NPI

Mayes Chiropractic, Inc

  • Chiropractor
  • Boise, ID
National Provider Identifier
1528103322
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MAYES CHIROPRACTIC, INC
Practice address
5975 W Overland Rd
Boise, ID 83709-3012
Phone
(208) 375-9000
Fax
(208) 375-9032
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Luke Corone Mayes, DC
Title
Doctor Owner
Phone
(208) 375-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

5975 W Overland Rd
Boise, ID 83709-3012

Mailing address

5975 W Overland Rd
Boise, ID 83709-3012
Phone (208) 375-9000

Other names 1

  • Mayes Specific Chiropractic Former legal business name

National Provider Directory

National Provider Directory

Locations

5975 W Overland Rd
Boise, ID 83709
Phone (208) 488-4998

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528103322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5975 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837093012",
            "telephone_number": "208-375-9000",
            "fax_number": "208-375-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5975 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837093012",
            "telephone_number": "208-375-9000",
            "fax_number": "208-375-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYES CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAYES",
        "authorized_official_first_name": "LUKE",
        "authorized_official_middle_name": "CORONE",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "208-375-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mayes Specific Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.