Tracy A McCuistion, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-1404 Issued in ID

Practice address

430 N State St
Rigby, ID 83442-1240

Phone

(208) 745-7374

NPI assigned

Mar 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271203200000",
    "number": "1013985514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 N STATE ST",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834421240",
            "telephone_number": "208-745-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 N STATE ST",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834421240",
            "telephone_number": "208-745-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUISTION",
        "first_name": "TRACY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2010-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "3449761202",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Braden Lott, DPT
• Lotus Wellness Inc
• Julie Kaye Macki
• Madison Co Memorial Hospital (Rigby Medical Center)
• Mark L. Peterson (Peterson Dental)
• Trent Robert McGary, D.P.T.
• Alissa McMinn, MS CCC-SLP
• Stephanie Meyer, CPM, LM
• Quinn Cooper Mikesell, D.M.D.
• Mobley Physical Therapy PC

• Chiropractor in Rigby, ID
• Providers in Rigby, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; 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.