Spinal Dynamics Chiropractic and Rehabilitation Specialists, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SPINAL DYNAMICS CHIROPRACTIC AND REHABILITATION SPECIALISTS, INC.

Practice address

3715 E Overland Rd
Suite #105
Meridian, ID 83642-8395

Phone

(208) 888-0055

Fax

(208) 888-5062

NPI assigned

Oct 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Susan Lynne Cunningham, D.C.

Title

Chiropractic Physician/Owner

Phone

(208) 888-0055

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Travis R Cunningham, D.C.

  • Chiropractor
  • Meridian, ID
  • NPI 1043271265
  NPD (past)

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1164610796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 E OVERLAND RD",
            "address_2": "SUITE #105",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428395",
            "telephone_number": "208-888-0055",
            "fax_number": "208-888-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 E OVERLAND RD",
            "address_2": "SUITE #105",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428395",
            "telephone_number": "208-888-0055",
            "fax_number": "208-888-5062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL DYNAMICS CHIROPRACTIC AND REHABILITATION SPECIALISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "208-888-0055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "102054-NV",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craig R Spencer, MD
• Elizabeth Spencer, PT, DPT
• Michael T. Spengler, MS, LPC
• Kevin Spiegel, PT
• Spinal DRS Inc.
• Spine Institute of Idaho P a
• Spring Creek Idaho, LLC
• Spring Gardens Meridian Opco LLC
• Brent William Springer, PHARMD
• Ryan Spritzer

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.