Active NPI
Marvin Kay Hatt, DC
- Chiropractor
- American Falls, ID
National Provider Identifier
1760590772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIA-551
- Practice address
- 2842A Pocatello Ave
Suite 104
American Falls, ID 83211-0308 - Phone
- (208) 226-2338
- NPI assigned
- Aug 29, 2006
- Last updated
- Jul 9, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIA-551 | ID | Primary |
Addresses
Primary practice location
2842A Pocatello Ave
Suite 104
American Falls, ID 83211-0308
Mailing address
PO Box 308
American Falls, ID 83211-0308
Phone (208) 226-2338
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010008072 | Other | ID | BLUE SHIELD |
| C5519 | Other | ID | BLUE CROSS |
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 |
|---|---|---|---|
| CHIA-551 | ID | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1760590772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 308",
"city": "AMERICAN FALLS",
"state": "ID",
"postal_code": "832110308",
"telephone_number": "208-226-2338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2842A POCATELLO AVE",
"address_2": "SUITE 104",
"city": "AMERICAN FALLS",
"state": "ID",
"postal_code": "832110308",
"telephone_number": "208-226-2338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATT",
"first_name": "MARVIN",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA-551",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "000010008072",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "C5519",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in American Falls, ID
- Doctors Clinic PA
- Amber Drummond
- Edgewood Spring Creek American Falls, LLC
- Falls Family Counseling LLC
- Vanessa Gallegos, RD, LDN
- Health West, Inc. (William Thomas Middle School)
- Health West, Inc. (AF Community Education Center)
- Health West, Inc. (Health West American Falls Clinic)
- Health West, Inc. (American Falls Academy)
- Health West, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.