Dr Neil a Mavity

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DR NEIL A MAVITY

Practice address

132 S 2ND St
St Maries, ID 83861-2209

Phone

(208) 245-5349

Fax

(208) 245-0153

NPI assigned

Feb 28, 2008

Last updated

Feb 28, 2008By 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

Mrs. Shirley E Swan

Title

Office MGR

Phone

(208) 245-5349

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1649449125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 303",
            "city": "ST MARIES",
            "state": "ID",
            "postal_code": "838610303",
            "telephone_number": "208-245-5349",
            "fax_number": "208-245-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 S 2ND ST",
            "city": "ST MARIES",
            "state": "ID",
            "postal_code": "838612209",
            "telephone_number": "208-245-5349",
            "fax_number": "208-245-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR NEIL A MAVITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "SWAN",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "208-245-5349",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sussannie Lucynda Da Costa, M.S., CRC,PSYD (ABD)
• Terry Evert Davenport, DO
• Adrian Thomas Davis, MD
• Jordan Ruth Day, PA-C
• Dirne Health Centers Inc (Heritage Health St Maries)
• Kendell Leigh Erickson, PT, DPT, ATC
• Kyle Ewert, DDS
• Family and Children's Rehabilitative Services
• Mark E Feasline, MSPT
• Kristin Ficklin

• Chiropractor in St Maries, ID
• Providers in St Maries, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.