Organization Active NPI

Star Chiropractic, PLLC

Doing business as Crane Chiropractic

  • Chiropractor
  • Star, ID
National Provider Identifier
1003082025
Registry record updated Jan 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-1084 Issued in ID
Legal business name
STAR CHIROPRACTIC, PLLC
Doing business as
Crane Chiropractic
Practice address
9762 W State St
Star, ID 83669-5766
Phone
(208) 286-7733
Fax
(208) 286-9165
NPI assigned
Apr 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Stephen R Crane, D.C.
Title
Member
Phone
(208) 695-5433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIA-1084 ID Primary

Addresses

Primary practice location

9762 W State St
Star, ID 83669-5766

Mailing address

964 N Island Park Ave
Star, ID 83669-5666
Phone (208) 695-5433

Other names 1

  • CRANE CHIROPRACTIC Doing business as

National Provider Directory

National Provider Directory

Locations

9762 W State St
Star, ID 83669
Phone (208) 286-7733

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232928000000",
    "number": "1003082025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "964 N ISLAND PARK AVE",
            "city": "STAR",
            "state": "ID",
            "postal_code": "836695666",
            "telephone_number": "208-695-5433",
            "fax_number": "208-286-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9762 W STATE ST",
            "city": "STAR",
            "state": "ID",
            "postal_code": "836695766",
            "telephone_number": "208-286-7733",
            "fax_number": "208-286-9165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2009-01-26",
        "status": "A",
        "authorized_official_last_name": "CRANE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "208-695-5433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRANE CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Star, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.