Organization Active NPI

Richard D Gallagher DC

  • Chiropractor
  • Nampa, ID
National Provider Identifier
1205920998
Registry record updated Dec 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-1113 Issued in ID
Legal business name
RICHARD D GALLAGHER DC
Doing business as
GALLAGHER CHIROPRACTIC
Practice address
4286 E Amity Ave Ste 104
Nampa, ID 83687-8176
Phone
(208) 442-1052
Fax
(208) 461-4685
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2008

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

Authorized official

Name
Dr. Richard D Gallagher, D.C.
Title
Owner
Phone
(208) 442-1052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIA-1113 ID Primary

Addresses

Primary practice location

4286 E Amity Ave Ste 104
Nampa, ID 83687-8176

Mailing address

4286 E Amity Ave Ste 104
Nampa, ID 83687-8176
Phone (208) 442-1052

Other names 1

  • GALLAGHER CHIROPRACTIC Doing business as

National Provider Directory

National Provider Directory

Locations

4286 E Amity Ave
Ste 104
Nampa, ID 83687
Phone (208) 442-1052

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228694400000",
    "number": "1205920998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4286 E AMITY AVE STE 104",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836878176",
            "telephone_number": "208-442-1052",
            "fax_number": "208-461-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4286 E AMITY AVE STE 104",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836878176",
            "telephone_number": "208-442-1052",
            "fax_number": "208-461-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD D GALLAGHER DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-12-08",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-442-1052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GALLAGHER CHIROPRACTIC",
            "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 Dec 8, 2008; 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.