Active NPI
Aaron Stern Chiropractic PLLC
Doing business as Ketchum Chiropractic
- Clinic/Center
- Ketchum, ID
National Provider Identifier
1144878091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124335906 | Medicaid | ID |
Other names 1
- Ketchum Chiropractic
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Ketchum |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Chiropractor
- Ketchum, ID
- NPI 1124335906
-
- Chiropractor
- Ketchum, ID
- NPI 1417171745
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.