Wight Chiropractic, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA 1163 Issued in ID

Legal business name

WIGHT CHIROPRACTIC, PA

Practice address

333 S. Woodruff Ave
Idaho Falls, ID 83401

Phone

(208) 522-2591

Fax

(208) 522-2591

NPI assigned

Jan 23, 2008

Organization subpart

No

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

Authorized official

Name

Gary Christopher Wight, DCNPI 1215012554

Title

President

Phone

(208) 522-2591

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Legacy Health Partners Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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

• Gary Christopher Wight, D.C.

  • Chiropractor
  • Idaho Falls, ID
  • NPI 1215012554
  Medicare reassignment Care Compare group NPD Authorized official
• Miranda Holwege, D.C.

  • Chiropractor
  • Idaho Falls, ID
  • NPI 1215462304
  Medicare reassignment Care Compare group NPD
• Joseph Monte Wight, DPT

  • Orthopedic Physical Therapist
  • Idaho Falls, ID
  • NPI 1851645634
  Medicare reassignment Care Compare group NPD
• Travis Thompson, D.C.

  • Chiropractor
  • Idaho Falls, ID
  • NPI 1922463322
  NPD (past)

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555372800000",
    "number": "1184801946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S. WOODRUFF AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "83401",
            "telephone_number": "208-522-2591",
            "fax_number": "208-522-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S. WOODRUFF AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "83401",
            "telephone_number": "208-522-2591",
            "fax_number": "208-522-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIGHT CHIROPRACTIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2019-04-16",
        "status": "A",
        "authorized_official_last_name": "WIGHT",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-522-2591",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA 1163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "1369151",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP #",
            "identifier": "C9672",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Health Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaylene Marie Whitten, LMSW
• Whitney Anne Whittle
• Whole Hearted Birth, LLC
• Matthew Aaron Widdison, MD
• Hiram Benjamin Wigant, MS, RD
• Gary Christopher Wight, D.C.
• Joseph Monte Wight, DPT
• Brigham Wilcox, PHARMD
• Wild Rose Mental Health PLLC
• Johnathon Chase Wilde, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.