Mark Edward Belnap, D.C.
Individual provider Active NPI Chiropractor · Pocatello, ID
NPI 1831249416 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1831249416
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CHIA827 (ID)
- Practice address
- 521 E Halliday St
Pocatello, ID 83201-6563 - Phone
- (208) 233-3838
- NPI assigned
- Jan 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1996
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
521 E Halliday St
Pocatello, ID 83201-6563
Phone (208) 233-3838
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130513000271 | ID | Practitioner - Chiropractic | 5193733624 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIA827 | ID | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Belnap Chiropractic, P.a. | Chiropractor | Current |
Accepting new patients |
Locations
521 E Halliday St
Pocatello, ID 83201
Phone (208) 233-3838
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIA827 | ID | Yes |
Addresses
Primary practice location
521 E Halliday St
Pocatello, ID 83201-6563
Mailing address
521 E Halliday St
Pocatello, ID 83201-6563
Phone (208) 233-3838
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C1393 | Other | ID | BLUE CROSS |
Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.