Fellows Chiropractic LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

CHIA-1615 Issued in ID

Legal business name

FELLOWS CHIROPRACTIC LLC

Practice address

8 S State St
Preston, ID 83263-1243

Phone

(208) 852-2240

NPI assigned

Dec 9, 2015

Last updated

Jun 18, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Douglas Scott Fellows, DCNPI 1215326475

Title

Owner

Phone

(208) 251-9925

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Douglas Scott Fellows, D.C.

  • Chiropractor
  • Preston, ID
  • NPI 1215326475
  Medicare reassignment NPD Authorized official
• David Alvord Cox, D.C.

  • Chiropractor
  • Preston, ID
  • NPI 1356407464
  NPD (past)

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592438400000",
    "number": "1104291657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 S STATE ST",
            "city": "PRESTON",
            "state": "ID",
            "postal_code": "832631243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 S STATE ST",
            "city": "PRESTON",
            "state": "ID",
            "postal_code": "832631243",
            "telephone_number": "208-852-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELLOWS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A",
        "authorized_official_last_name": "FELLOWS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-251-9925",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "ID",
            "license": "CHIA-1615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael David Earley, DC
• Raven Ebanez, APRN-CNP
• Eye Care for You LLC
• Eye Care for You, P.C.
• Eyecare Specialties of Idaho PC
• Cami Fellows
• Douglas Scott Fellows, D.C.
• Franklin County Medical Center (Franklin County Medical Center Transitional Care Unit)
• Franklin County Medical Center (FCMC Developmental Disabilities Agency (For Adults))
• Franklin County Medical Center (FCMC Medical Clinic)

• Primary Care Clinic/Center in Preston, ID
• Providers in Preston, ID by specialty
• Primary Care Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.