Care Chiropractic Clinic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA470 Issued in ID

Legal business name

CARE CHIROPRACTIC CLINIC INC

Practice address

1504 N Main St
Meridian, ID 83642-1707

Phone

(208) 888-2267

Fax

(208) 288-0260

NPI assigned

Aug 25, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Richard Paul Sampson, D.C.

Title

Owner

Phone

(208) 888-2267

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1063728335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 N MAIN ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421707",
            "telephone_number": "208-888-2267",
            "fax_number": "208-288-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 N MAIN ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421707",
            "telephone_number": "208-888-2267",
            "fax_number": "208-288-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-25",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-888-2267",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101390014",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "C4702",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Demitri Carahalios, PHYSICIAN ASSISTANT
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• Janean Joy Carey

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; 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.