Tim Coiner DC Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA658 Issued in ID

Legal business name

TIM COINER DC INC

Practice address

777 Addison Ave
Twin Falls, ID 83301-5266

Phone

(208) 736-8818

Fax

(208) 736-8828

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Tim Joseph Coiner, DC

Title

President

Phone

(208) 736-8818

Specialties & licenses 1

Addresses

Other names 1

• Lifestyle Chiropractic Doing business as

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1104847748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 ADDISON AVE",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015266",
            "telephone_number": "208-736-8818",
            "fax_number": "208-736-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 ADDISON AVE",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015266",
            "telephone_number": "208-736-8818",
            "fax_number": "208-736-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIM COINER DC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "COINER",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-736-8818",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifestyle Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.