Active NPI 1578820247 Individual Practitioner Male Practitioner

Dr. Jared D Mangum , DC, MBA, LMT

Chiropractor • Hayden, ID

Professional Overview & Biography Verified Profile Summary

Dr. Jared Mangum, DC, MBA, LMT is a registered healthcare professional specializing in Chiropractor in Hayden, ID. Practice services are available at 8659 N RUDE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8659 N Rude St

Hayden, ID 838358255

Telephone 8017627447

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Hayden, ID

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 19.4 Yrs

State Avg: 20.0 Yrs

Regional Practice Density

18 Specialists

Practicing in Hayden, ID (740 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

CMS Verified: 2020-07-06

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License ID CHIA-2025

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Chiropractor

NUCC Taxonomy Code: 111N00000X

State License UT 5266084-1202

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location July 06, 2020

Registered at 8659 N RUDE ST, HAYDEN, ID 838358255 (Tel: 8017627447)

📍

Updated Business Mailing Address July 06, 2020

Registered at 8659 N RUDE ST, HAYDEN, ID 838358255 (Tel: 8017627447)

👤

Provider Name / Credentials Updated July 06, 2020

Recorded as JARED MANGUM, DC, MBA, LMT

✅

NPI Profile Active April 18, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location April 18, 2012

Registered at 100 W CANYON CREST RD, BASEMENT STE #2, ALPINE, UT 840041607 (Tel: 8016921275)

📍

Updated Business Mailing Address April 18, 2012

Registered at 100 W CANYON CREST RD, BASEMENT STE #2, ALPINE, UT 840041607 (Tel: 8016921275)

👤

Provider Name / Credentials Updated April 18, 2012

Recorded as JARED MANGUM, DC, BS, LMT

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2012

Chiropractor (License #5266084-1202 in UT)

🟢

Initial NPI Registration & Enumeration April 18, 2012

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: 1578820247

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 18, 2012

Last Update: July 06, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

8659 N Rude St

Hayden, ID 838358255

Phone: 8017627447

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.