Organization Active NPI

Bitterroot Regional Chiropractic PLLC

  • Clinic/Center
  • Salmon, ID
National Provider Identifier
1083899124
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CHIA 1282 Issued in ID
Legal business name
BITTERROOT REGIONAL CHIROPRACTIC PLLC
Practice address
818 Main St
Suite F
Salmon, ID 83467-4350
Phone
(208) 756-1428
NPI assigned
Jan 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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

Authorized official

Name
Brian Barry, DCNPI 1609962208
Title
Member/Manager
Phone
(208) 756-1428

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
Clinic/Center 261Q00000X CHIA 1282 ID Primary

Addresses

Primary practice location

818 Main St
Suite F
Salmon, ID 83467-4350

Mailing address

818 Main St
Suite F
Salmon, ID 83467-4350
Phone (208) 756-1428

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080313000649 ID Part B Supplier - Clinic/Group Practice 0446335558 Receives reassigned benefits from 2 practitioners
Practice locations: Hailey, ID; Salmon, ID

National Provider Directory

National Provider Directory

Locations

1911 Main St
Salmon, ID 83467
Phone (208) 303-6616

818 Main St
Ste F
Salmon, ID 83467
Phone (208) 756-1428

Practitioners & affiliated clinicians

Practitioners 2

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": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1083899124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 MAIN ST",
            "address_2": "SUITE F",
            "city": "SALMON",
            "state": "ID",
            "postal_code": "834674350",
            "telephone_number": "208-756-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 MAIN ST",
            "address_2": "SUITE F",
            "city": "SALMON",
            "state": "ID",
            "postal_code": "834674350",
            "telephone_number": "208-756-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BITTERROOT REGIONAL CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "BARRY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "208-756-1428",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "ID",
            "license": "CHIA 1282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salmon, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.