Body of a Champion Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BODY OF A CHAMPION CHIROPRACTIC, PC

Practice address

9196 W Emerald St Ste 120
Boise, ID 83704-8003

Phone

(208) 990-7010

NPI assigned

Sep 25, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Madison J Wills, DCNPI 1124638143

Title

Chiropractor

Phone

(208) 990-7010

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Madison J Wills, DC

  • Chiropractor
  • Boise, ID
  • NPI 1124638143
  NPD Authorized official

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1154938983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9196 W EMERALD ST STE 120",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048003",
            "telephone_number": "208-990-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9196 W EMERALD ST STE 120",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048003",
            "telephone_number": "208-990-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY OF A CHAMPION CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "WILLS",
        "authorized_official_first_name": "MADISON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "208-990-7010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Reed Bodily II, MDM
• Gregory N Bodily, O.D.
• Kathrin Bodine, NP
• Bodo Chiropractic
• Body Mechanics LLC
• Body Wise Physical Therapy PLLC
• Kathryn West Boedeker, MS, LPC, NCC
• Jess Seymour Boeder, MS., CCC, SLP
• Kimberly Ann Boenig, PTA
• Mark J Boerner, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.