Active NPI
Maria M Maricich, D.C.
- Internist Chiropractor
- Ketchum, ID
National Provider Identifier
1962542332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internist Chiropractor
- License
- CHIA622
- Practice address
- 131 4TH St. E, Suite 310
Ketchum, ID 83340 - Phone
- (208) 726-6010
- Fax
- (208) 726-6010
- NPI assigned
- Feb 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | C622 | ID | |
| Nutrition Chiropractor | 111NN1001X | CHIA622 | ID | |
| Internist Chiropractor | 111NI0900X | CHIA622 | ID | Primary |
| Pediatric Chiropractor | 111NP0017X | CHIA622 | ID | |
| Sports Physician Chiropractor | 111NS0005X | CHIA622 | ID |
Addresses
Primary practice location
131 4TH St. E, Suite 310
Ketchum, ID 83340
Mailing address
PO Box 6459
Ketchum, ID 83340
Phone (208) 726-6010
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C622-8 | Other | ID | BLUE CROSS |
| 0000-1002-0870 | Other | ID | BLUE SHEILD |
Other names 1
- L Maria Maricich
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 |
|---|---|---|---|
| C622 | ID | MD | Chiropractor |
| CHIA622 | ID | MD | Sports Physician Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786233600000",
"number": "1962542332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6459",
"city": "KETCHUM",
"state": "ID",
"postal_code": "83340",
"telephone_number": "208-726-6010",
"fax_number": "208-726-6010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 4TH ST. E, SUITE 310",
"city": "KETCHUM",
"state": "ID",
"postal_code": "83340",
"telephone_number": "208-726-6010",
"fax_number": "208-726-6010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARICICH",
"first_name": "MARIA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2026-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "C622",
"primary": false
},
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "ID",
"license": "CHIA622",
"primary": false
},
{
"code": "111NI0900X",
"taxonomy_group": "",
"desc": "Chiropractor, Internist",
"state": "ID",
"license": "CHIA622",
"primary": true
},
{
"code": "111NP0017X",
"taxonomy_group": "",
"desc": "Chiropractor, Pediatric Chiropractor",
"state": "ID",
"license": "CHIA622",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "ID",
"license": "CHIA622",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "C622-8",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHEILD",
"identifier": "0000-1002-0870",
"state": "ID"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "L",
"last_name": "MARICICH",
"middle_name": "MARIA",
"credential": "D.C.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Ketchum, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.