Organization Active NPI

Boise Chiropractic Inc

  • Chiropractor
  • Boise, ID
National Provider Identifier
1033392055
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA 586 Issued in ID
Legal business name
BOISE CHIROPRACTIC INC
Practice address
9217 W State St
Boise, ID 83714-1737
Phone
(208) 853-7221
Fax
(208) 853-5518
NPI assigned
Dec 12, 2007
Last updated
Feb 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2014

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

Authorized official

Name
Dr. Tod Spainhower, D.C.NPI 1881642312
Title
Chiropractic Physician
Phone
(208) 853-7221

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)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIA 586 ID Primary

Addresses

Primary practice location

9217 W State St
Boise, ID 83714-1737

Mailing address

9217 W State St
Boise, ID 83714-1737
Phone (208) 853-7221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140219000375 ID Part B Supplier - Clinic/Group Practice 9133358096 Receives reassigned benefits from 1 practitioner
Practice locations: Boise, ID

National Provider Directory

National Provider Directory

Locations

9217 W State St
Garden City, ID 83714
Phone (208) 249-2607

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393200000000",
    "number": "1033392055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9217 W STATE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837141737",
            "telephone_number": "208-853-7221",
            "fax_number": "208-853-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9217 W STATE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837141737",
            "telephone_number": "208-853-7221",
            "fax_number": "208-853-5518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOISE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2014-02-24",
        "status": "A",
        "authorized_official_last_name": "SPAINHOWER",
        "authorized_official_first_name": "TOD",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "208-853-7221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA 586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.