Active NPI
Robert E Ward III, DC, NMD
- Independent Medical Examiner Chiropractor
- Pocatello, ID
National Provider Identifier
1033287040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Medical Examiner Chiropractor
- License
- 508
- Practice address
- 135 Warren Ave
Pocatello, ID 83201-4621 - Phone
- (208) 241-6510
- Fax
- (208) 234-2052
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Medical Examiner Chiropractor | 111NI0013X | 508 | ID | Primary |
| Internist Chiropractor | 111NI0900X | 508C | ID | |
| Orthopedic Chiropractor | 111NX0800X | 508C | ID | |
| Naturopath | 175F00000X | 508 | ID |
Addresses
Primary practice location
135 Warren Ave
Pocatello, ID 83201-4621
Mailing address
PO Box 3052
Pocatello, ID 83206-3052
Phone (208) 221-2225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 508C | ID | MD | Orthopedic Chiropractor |
| 508 | ID | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ward Clinic PA | Naturopath | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Naturopath
- Pocatello, ID
- NPI 1083731624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456790400000",
"number": "1033287040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3052",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832063052",
"telephone_number": "208-221-2225",
"fax_number": "208-234-2052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 WARREN AVE",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832014621",
"telephone_number": "208-241-6510",
"fax_number": "208-234-2052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "ROBERT",
"middle_name": "E",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DC, NMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2016-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "111NI0013X",
"taxonomy_group": "",
"desc": "Chiropractor, Independent Medical Examiner",
"state": "ID",
"license": "508",
"primary": true
},
{
"code": "111NI0900X",
"taxonomy_group": "",
"desc": "Chiropractor, Internist",
"state": "ID",
"license": "508C",
"primary": false
},
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "ID",
"license": "508C",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "ID",
"license": "508",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.