Organization Active NPI

Big Sky Chiropractic, PLLC

  • Chiropractor
  • McCall, ID
National Provider Identifier
1063148476
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BIG SKY CHIROPRACTIC, PLLC
Practice address
106 E Park St Ste 101
McCall, ID 83638-5064
Phone
(208) 630-6282
Fax
(208) 630-6281
NPI assigned
Jul 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Authorized official

Name
Jessica Pitre
Title
Billing Specialist
Phone
(206) 259-5878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

106 E Park St Ste 101
McCall, ID 83638-5064

Mailing address

PO Box 2024
McCall, ID 83638-2024

National Provider Directory

National Provider Directory

Locations

106 E Park St
Ste 101
McCall, ID 83638
Phone (208) 630-6282

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1063148476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2024",
            "city": "MCCALL",
            "state": "ID",
            "postal_code": "836382024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E PARK ST STE 101",
            "city": "MCCALL",
            "state": "ID",
            "postal_code": "836385064",
            "telephone_number": "208-630-6282",
            "fax_number": "208-630-6281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG SKY CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "PITRE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "206-259-5878"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McCall, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.