Desirae I Brown, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-2367 Issued in ID

Practice address

5402 W Overland Rd
Boise, ID 83705-2640

Phone

(208) 614-8090

NPI assigned

Oct 17, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700870400000",
    "number": "1053193722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6452 N AGRARIAN LN APT B",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836461487",
            "telephone_number": "208-614-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5402 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837052640",
            "telephone_number": "208-614-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DESIRAE",
        "middle_name": "I",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-11-25",
        "certification_date": "2023-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-2367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angie Brown, M.A., LPC
• Carlie Cressey Brown
• Coe Brown
• Dani Renee Brown
• Dennis Edward Brown, R.PH.
• Douglas Brown, PTA
• Eric A. Brown, MASSAGE THERAPIST
• Evan R Brown
• Gail Brown, OTR
• Jakota Brown

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2023; 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.