Individual provider Active NPI

Grant Dono Finn, D.C.

  • Chiropractor
  • Chubbuck, ID
National Provider Identifier
1174544688
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
C-480 Issued in ID
Practice address
134 W Chubbuck Rd
Suite a
Chubbuck, ID 83202-2315
Phone
(208) 237-2377
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X C-480 ID Primary

Addresses

Primary practice location

134 W Chubbuck Rd
Suite a
Chubbuck, ID 83202-2315

Mailing address

134 W Chubbuck Rd
Suite a
Chubbuck, ID 83202-2315
Phone (208) 237-2377

Other identifiers 1

IdentifierTypeStateIssuer
44002MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C-480IDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
West Chiropractic Clinic PA Chiropractor Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1174544688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 W CHUBBUCK RD",
            "address_2": "SUITE A",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832022315",
            "telephone_number": "208-237-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 W CHUBBUCK RD",
            "address_2": "SUITE A",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832022315",
            "telephone_number": "208-237-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINN",
        "first_name": "GRANT",
        "middle_name": "DONO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "C-480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44002",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chubbuck, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.