Genavix Inc

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

GENAVIX INC

Practice address

1 Highlander Way
Manchester, NH 30103-7403

Phone

(603) 232-4894

Fax

(603) 641-6314

NPI assigned

Dec 6, 2016

Last updated

Jul 20, 2018By 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

Mr. David Wolff

Title

Coo

Phone

(603) 770-0247

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532044800000",
    "number": "1730623000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HIGHLANDER WAY",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031037403",
            "telephone_number": "603-232-4894",
            "fax_number": "603-641-6314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HIGHLANDER WAY",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "301037403",
            "telephone_number": "603-232-4894",
            "fax_number": "603-641-6314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENAVIX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-06",
        "last_updated": "2018-07-20",
        "status": "A",
        "authorized_official_last_name": "WOLFF",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "603-770-0247",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Manchester, NH
• Providers in Manchester, NH by specialty
• Registered Dietitian in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.