Organization Active NPI

Lewiston Family Chiropractic

  • Chiropractor
  • Lewiston, ID
National Provider Identifier
1194081687
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-810 Issued in ID
Legal business name
LEWISTON FAMILY CHIROPRACTIC
Practice address
3510 12TH St Ste 200
Lewiston, ID 83501-5575
Phone
(208) 799-3333
Fax
(208) 799-3375
NPI assigned
Apr 9, 2012
Last updated
Apr 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

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

Authorized official

Name
Kurt Bailey, DCNPI 1528046661
Title
Doctor
Phone
(208) 799-3333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIA-810 ID Primary

Addresses

Primary practice location

3510 12TH St Ste 200
Lewiston, ID 83501-5575

Mailing address

3510 12TH St Ste 200
Lewiston, ID 83501-5575
Phone (208) 799-3333

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1194081687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 12TH ST STE 200",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835015575",
            "telephone_number": "208-799-3333",
            "fax_number": "208-799-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 12TH ST STE 200",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835015575",
            "telephone_number": "208-799-3333",
            "fax_number": "208-799-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWISTON FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-09",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "208-799-3333",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; 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.