N.E.X.T. Level Health Center, Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

CHIA-1341 Issued in ID

Legal business name

N.E.X.T. LEVEL HEALTH CENTER, INC.

Practice address

2105 Niagara
Idaho Falls, ID 83404

Phone

(208) 528-6010

Fax

(208) 528-6011

NPI assigned

Oct 11, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Justin Tyrell Hammon, D.C.

Title

President

Phone

(208) 528-6010

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481241600000",
    "number": "1124303094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 NIAGARA ST.",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "83404",
            "telephone_number": "208-528-6010",
            "fax_number": "208-528-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 NIAGARA",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "83404",
            "telephone_number": "208-528-6010",
            "fax_number": "208-528-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N.E.X.T. LEVEL HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-11",
        "last_updated": "2016-12-09",
        "status": "A",
        "authorized_official_last_name": "HAMMON",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "TYRELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-528-6010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "ID",
            "license": "CHIA-1341",
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "ID",
            "license": "ACT-251",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "808261500",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosalind Myer
• Nathan Myers, PHARMD
• Robert Allen Myers, PH.D., R.PH.
• Jacob Alan Myler, PA-C
• Shamini Mylvaganam
• Edward Naff
• Lindsee Nail
• Rhett James Nance, MD
• Noor Ashraf Nassef, DO
• Richard Alan Nathan, D.O.

• Health Service Clinic/Center in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Health Service Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.