Organization Active NPI

Pfaff Chiropractic & Rehabilitation PLLC

  • Chiropractor
  • Boise, ID
National Provider Identifier
1104598655
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PFAFF CHIROPRACTIC & REHABILITATION PLLC
Practice address
1070 N Curtis Rd Ste 110
Boise, ID 83706-1248
Phone
(208) 291-5566
NPI assigned
Oct 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Authorized official

Name
Brian Pfaff, DCNPI 1598836843
Title
Owner
Phone
(208) 291-5566

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
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1070 N Curtis Rd Ste 110
Boise, ID 83706-1248

Mailing address

1070 N Curtis Rd Ste 110
Boise, ID 83706-1248
Phone (208) 291-5566

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211123002416 ID Part B Supplier - Clinic/Group Practice 3971993478 Receives reassigned benefits from 1 practitioner
Practice locations: Boise, ID

National Provider Directory

National Provider Directory

Locations

1070 N Curtis Rd
Boise, ID 83706
Phone (208) 392-1317

1070 N Curtis Rd
Ste 110
Boise, ID 83706
Phone (208) 291-5566

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": "1633305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1104598655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 N CURTIS RD STE 110",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061248",
            "telephone_number": "208-291-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 N CURTIS RD STE 110",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061248",
            "telephone_number": "208-291-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PFAFF CHIROPRACTIC & REHABILITATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "PFAFF",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-291-5566",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.