Active NPI
Clearwater Chiropractic & Acupuncture PA
Doing business as Cca
- Chiropractor
- Juliaetta, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- CLEARWATER CHIROPRACTIC & ACUPUNCTURE PA
- Doing business as
- Cca
- Practice address
- 25040 Burrow LN
Juliaetta, ID 83535-5004 - Phone
- (208) 305-5547
- Fax
- (208) 836-5755
- NPI assigned
- Dec 10, 2024
- Last updated
- Jan 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Susan Jane Aubuchon, DC
- Title
- President/Owner
- Phone
- (208) 305-5547
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
25040 Burrow LN
Juliaetta, ID 83535-5004
Mailing address
25040 Burrow LN
Juliaetta, ID 83535-5004
Phone (208) 305-5547
Other names 1
- CCA
National Provider Directory
National Provider Directory- Tax ID family
- Cca
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Lewiston, ID
- NPI 1356333702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737072000000",
"number": "1013723436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25040 BURROW LN",
"city": "JULIAETTA",
"state": "ID",
"postal_code": "835355004",
"telephone_number": "208-305-5547",
"fax_number": "208-836-5755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25040 BURROW LN",
"city": "JULIAETTA",
"state": "ID",
"postal_code": "835355004",
"telephone_number": "208-305-5547",
"fax_number": "208-836-5755"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEARWATER CHIROPRACTIC & ACUPUNCTURE PA",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-10",
"last_updated": "2025-01-17",
"certification_date": "2025-01-17",
"status": "A",
"authorized_official_last_name": "AUBUCHON",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "JANE",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "208-305-5547",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CCA",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "CCA",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Juliaetta, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.