Active NPI
Bower Chiropractic Inc
Doing business as Bower Chiropractic and Sports Injury Clinic
- Sports Physician Chiropractor
- Nampa, ID
National Provider Identifier
1174927933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- CHIA-1618
- Legal business name
- BOWER CHIROPRACTIC INC
- Doing business as
- Bower Chiropractic and Sports Injury Clinic
- Practice address
- 304 12TH Ave Rd
Nampa, ID 83686 - Phone
- (208) 466-0200
- Fax
- (208) 463-0649
- NPI assigned
- Oct 22, 2014
- 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
- Dr. Jacob Raymond Bower, MS DC
- Title
- Chiropractor/Owner
- Phone
- (208) 466-0200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | CHIA-1618 | ID | Primary |
Addresses
Primary practice location
304 12TH Ave Rd
Nampa, ID 83686
Mailing address
304 12TH Ave Rd
Nampa, ID 83686
Phone (208) 466-0200
Other names 1
- Bower Chiropractic and Sports Injury Clinic
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1413936000000",
"number": "1174927933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 12TH AVE RD",
"city": "NAMPA",
"state": "ID",
"postal_code": "83686",
"telephone_number": "208-466-0200",
"fax_number": "208-463-0649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 12TH AVE RD",
"city": "NAMPA",
"state": "ID",
"postal_code": "83686",
"telephone_number": "208-466-0200",
"fax_number": "208-463-0649"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOWER CHIROPRACTIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-22",
"last_updated": "2014-10-22",
"status": "A",
"authorized_official_last_name": "BOWER",
"authorized_official_first_name": "JACOB",
"authorized_official_middle_name": "RAYMOND",
"authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
"authorized_official_telephone_number": "208-466-0200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MS DC"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": "ID",
"license": "CHIA-1618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bower Chiropractic and Sports Injury Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.