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Deactivated NPI 1780665737 Deactivated / Inactive NPI Male Practitioner

Mark David Chaney

Dietary Manager • Boise, ID

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mark Chaney has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 08, 2005
NPI Deactivation Date February 26, 2026
Total Practice Duration ~21 Years of Practice (2005 – 2026)

Professional Overview & Biography Verified Profile Summary

Mark Chaney was a registered Dietary Manager practicing in Boise, ID. Throughout an active medical career spanning 21 years, Mark Chaney provided care at the practice location at 4012 GROVER ST until profile deactivation on 2026-02-26.

Practice Location & Contact Primary Location

Practice Address

4012 Grover St

Boise, ID 837051428

Telephone 2083457742
Fax 2083457742

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietary Manager in Boise, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Boise, ID (1 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dietary Manager Primary Specialty

NUCC Taxonomy Code: 132700000X

A dietary manager is a trained food services professional who is charged with maintaining cost/profit objectives, purchasing foods and services for the department and supervising staff.. Dietary managers are trained to understand the basic nutritional needs of clients and work in partnership with dietitians, who offer specialized nutritional expertise. The CDM certified dietary manager designation is an advanced professional credential awarded to dietary managers who have completed specific course work, have passed the national credentialing exams (including a sanitation and safety exam) and have applied for certification.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 26, 2026

Record deactivated on February 26, 2026

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 4012 GROVER ST, BOISE, ID 837051428 (Tel: 2083457742)

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Updated Business Mailing Address July 08, 2007

Registered at 4012 GROVER ST, BOISE, ID 837051428 (Tel: 2083457742)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MARK CHANEY

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dietary Manager

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Initial NPI Registration & Enumeration November 08, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780665737
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 08, 2005
Last Update: July 08, 2007
Deactivation Date: February 26, 2026

Mailing Address

4012 Grover St

Boise, ID 837051428

Phone: 2083457742

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.