Organization Active NPI

Aaron Stern Chiropractic PLLC

Doing business as Ketchum Chiropractic

  • Clinic/Center
  • Ketchum, ID
National Provider Identifier
1144878091
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
AARON STERN CHIROPRACTIC PLLC
Doing business as
Ketchum Chiropractic
Practice address
128 Saddle Road
Suite 100
Ketchum, ID 83340-8334
Phone
(208) 726-4555
Fax
(208) 928-4851
NPI assigned
Sep 3, 2019
Last updated
Sep 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Authorized official

Name
Nicole Suzanne Inman
Title
Office Manager
Phone
(208) 726-4555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

128 Saddle Road
Suite 100
Ketchum, ID 83340-8334

Mailing address

PO Box 6003
Ketchum, ID 83340-6003
Phone (208) 726-4555

Other identifiers 1

IdentifierTypeStateIssuer
1124335906MedicaidID

Other names 1

  • Ketchum Chiropractic Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Ketchum

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567468800000",
    "number": "1144878091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6003",
            "city": "KETCHUM",
            "state": "ID",
            "postal_code": "833406003",
            "telephone_number": "208-726-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 SADDLE ROAD",
            "address_2": "SUITE 100",
            "city": "KETCHUM",
            "state": "ID",
            "postal_code": "833408334",
            "telephone_number": "208-726-4555",
            "fax_number": "208-928-4851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AARON STERN CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A",
        "authorized_official_last_name": "INMAN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-726-4555"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124335906",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Ketchum",
            "affiliation": "N",
            "address_1": "128 Saddle Road",
            "address_2": "suite 100",
            "city": "Ketchum",
            "state": "ID",
            "country_code": "US",
            "postal_code": "833408334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ketchum Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ketchum, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.