Purpose Driven Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA1301 Issued in ID

Legal business name

PURPOSE DRIVEN CHIROPRACTIC PC

Practice address

435 E Shore Dr
Ste 110
Eagle, ID 83616-5753

Phone

(208) 938-9548

Fax

(208) 938-9494

NPI assigned

Jul 2, 2009

Last updated

Jul 2, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeremai Joy Hafer, D.C.NPI 1639333073

Title

President

Phone

(208) 938-9548

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeremai Joy Hafer, D.C.

  • Chiropractor
  • Eagle, ID
  • NPI 1639333073
  Authorized official Same address or phone
• Christie Ann Hafer, D.C.

  • Chiropractor
  • Eagle, ID
  • NPI 1396980066
  NPD (past)

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1144459827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 E SHORE DR",
            "address_2": "STE 110",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165753",
            "telephone_number": "208-938-9548",
            "fax_number": "208-938-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 E SHORE DR",
            "address_2": "STE 110",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165753",
            "telephone_number": "208-938-9548",
            "fax_number": "208-938-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPOSE DRIVEN CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-02",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "HAFER",
        "authorized_official_first_name": "JEREMAI",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-938-9548",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA1301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preventative Health
• Marcia D Price-Miller, M.D.
• Jared Prince, PT
• Benjamin Prinzing
• Alexandra Purcell
• Christian Putegnat
• Jennifer Pyette, COTA/L
• Christine Marie Radsma, LM, CPM
• Kimberly Ann Rainey, P.T.
• Renae Ramos, PA-C

• Chiropractor in Eagle, ID
• Providers in Eagle, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; 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.