Active NPI
Allan John Joubert, D.C.
- Chiropractor
- Coeur d'Alene, ID
National Provider Identifier
1205899390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIA-1222
- Practice address
- 116 W Neider Ave
Coeur D Alene, ID 83815-9300 - Phone
- (208) 664-0800
- Fax
- (208) 664-0820
- NPI assigned
- Apr 10, 2006
- Last updated
- Dec 10, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00033789 | WA | |
| Chiropractor | 111N00000X | CHIA-1222 | ID | Primary |
Addresses
Primary practice location
116 W Neider Ave
Coeur D Alene, ID 83815-9300
Mailing address
1172 W Hayden Ave
Hayden, ID 83835-8700
Phone (208) 664-0800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134142 | Other | WA | DEPT LABOR AND INDUSTRIES |
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
| License | State | Type | Specialty |
|---|---|---|---|
| CHIA-1222 | ID | MD | Chiropractor |
| CH00033789 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Helping Hands Chiropractic and Wellness Center | Current | Accepting new patients |
Locations
116 W Neider Ave
Coeur D Alene, ID 83815
Phone (208) 664-0444
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Coeur d'Alene, ID
- NPI 1922283894
-
- Primary Care Clinic/Center
- Coeur d'Alene, ID
- NPI 1194126003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575936000000",
"number": "1205899390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1172 W HAYDEN AVE",
"city": "HAYDEN",
"state": "ID",
"postal_code": "838358700",
"telephone_number": "208-664-0800",
"fax_number": "208-664-0820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 W NEIDER AVE",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838159300",
"telephone_number": "208-664-0800",
"fax_number": "208-664-0820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOUBERT",
"first_name": "ALLAN",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-10",
"last_updated": "2019-12-10",
"certification_date": "2019-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00033789",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA-1222",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT LABOR AND INDUSTRIES",
"identifier": "134142",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Coeur d'Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.