Nielson Family Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-1068 Issued in ID

Legal business name

NIELSON FAMILY CHIROPRACTIC INC

Practice address

260 Falls Ave Ste B
Twin Falls, ID 83301-3370

Phone

(208) 733-2322

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Chad Jay Nielson, D.C.NPI 1952458127

Title

Owner

Phone

(208) 733-2322

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chad J Nielson, D.C.

  • Chiropractor
  • Twin Falls, ID
  • NPI 1952458127
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296691200000",
    "number": "1134266398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 FALLS AVE STE B",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013370",
            "telephone_number": "208-733-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 FALLS AVE STE B",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013370",
            "telephone_number": "208-733-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIELSON FAMILY CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2011-02-03",
        "status": "A",
        "authorized_official_last_name": "NIELSON",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-733-2322",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF IDAHO",
            "identifier": "000010147143",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "C4140",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Wendell Nicholson, CRNA
• Blake Sommers Nielsen, PHARMD
• Brandon Clark Nielsen, O.D.
• Ciera L Nielsen, PHARMD
• Janice Carson Nielsen, LMSW,CSW,CFLE
• Chad J Nielson, D.C.
• Ryan Matthew Nielson, DDS
• Andrew W Nistler
• Cynthia M Nixon, LMSW
• Kurtis Wayne Nokes, PHARMD

• 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 Feb 3, 2011; 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.