Sandpoint Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SANDPOINT CHIROPRACTIC PLLC

Practice address

400 Schweitzer Plaza Dr Ste 4
Ponderay, ID 83852-9819

Phone

(208) 265-9400

NPI assigned

Jun 8, 2023

Organization subpart

No

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

Authorized official

Name

Joshua Moore, DCNPI 1831851716

Title

Owner

Phone

(208) 596-6302

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joshua Robert Moore, DC

  • Chiropractor
  • Ponderay, ID
  • NPI 1831851716
  Medicare reassignment NPD Authorized official
• Ryan Franklin Webster, D.C.

  • Chiropractor
  • Ponderay, ID
  • NPI 1740247881
  NPD (past)

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1043904253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SCHWEITZER PLAZA DR STE 4",
            "city": "PONDERAY",
            "state": "ID",
            "postal_code": "838529819",
            "telephone_number": "208-265-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SCHWEITZER PLAZA DR STE 4",
            "city": "PONDERAY",
            "state": "ID",
            "postal_code": "838529819",
            "telephone_number": "208-265-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDPOINT CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-596-6302",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Dawn Puckett, PHARMD
• Daniel Rial, PH.D.
• Joanna Richter
• Mario E Roxas, N.D.
• Sanctuary of Integrative Wellbeing
• Sandpoint Dental Cosmetics, PLLC
• Geri Lynn Schaaf, PT
• Michael David Schicker, DO
• Nancy J Schmidt, PHD, CADC, MAC, CHES
• Traci D Schmidt, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.