Dan Parke PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-836 Issued in ID

Legal business name

DAN PARKE PC

Doing business as

Blaine County Chiropractic

Practice address

222 S River St
Hailey, ID 83333-8427

Phone

(208) 788-2258

Fax

(208) 578-7024

NPI assigned

Jan 11, 2008

Last updated

Jan 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Parke, D.C.NPI 1528092822

Title

Owner/President

Phone

(208) 788-2258

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Blaine County Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

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.

• Daniel Parke, D.C.

  • Chiropractor
  • Hailey, ID
  • NPI 1528092822
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1205012945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S RIVER ST",
            "city": "HAILEY",
            "state": "ID",
            "postal_code": "833338427",
            "telephone_number": "208-788-2258",
            "fax_number": "208-578-7024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S RIVER ST",
            "city": "HAILEY",
            "state": "ID",
            "postal_code": "833338427",
            "telephone_number": "208-788-2258",
            "fax_number": "208-578-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAN PARKE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "PARKE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "208-788-2258",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8060838",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blaine County Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beth Ann Citron, LCSW
• Jennifer M Cook, PT
• Susan Gayle Cooper, OTR/L
• Thomas Floyd Crais Jr.
• Derek Dains, EMT
• Thomas Deantonio, PH.D.
• Stephanie A Dennis Blair, LPC
• Kathleen Diepenbrock, LPC
• Linh Doan
• Teresa Dooley Cloud, EDS, CCC/SP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.