NPIMap

Organization Active NPI

Innate Health Chiropractic Center

  • Exclusive Provider Organization
  • Meridian, ID
National Provider Identifier
1124410139
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
CHIA-1588 Issued in ID
Legal business name
INNATE HEALTH CHIROPRACTIC CENTER
Practice address
1560 N Crestmont Dr Ste E
Meridian, ID 83642-2178
Phone
(208) 884-2885
NPI assigned
Feb 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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

Authorized official

Name
Dr. Kyle Kurscheidt, D.C.NPI 1619390283
Title
President
Phone
(208) 884-2885

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
Exclusive Provider Organization 302F00000X CHIA-1588 ID Primary

Addresses

Primary practice location

1560 N Crestmont Dr Ste E
Meridian, ID 83642-2178

Mailing address

1560 N Crestmont Dr Ste E
Meridian, ID 83642-2178

National Provider Directory

National Provider Directory

Locations

1560 N Crestmont Dr
Ste E
Meridian, ID 83642
Phone (208) 288-1776

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": "1424995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424995200000",
    "number": "1124410139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 N CRESTMONT DR STE E",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 N CRESTMONT DR STE E",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422178",
            "telephone_number": "208-884-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNATE HEALTH CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-27",
        "last_updated": "2015-02-27",
        "status": "A",
        "authorized_official_last_name": "KURSCHEIDT",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-884-2885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "ID",
            "license": "CHIA-1588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; 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.