Organization Active NPI

Rosenberg Chiropractic

  • Chiropractor
  • Boise, ID
National Provider Identifier
1215972005
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA1058 Issued in ID
Legal business name
ROSENBERG CHIROPRACTIC
Practice address
1150 W State St
Suite 220
Boise, ID 83702-5327
Phone
(208) 384-9070
Fax
(208) 384-9057
NPI assigned
Jun 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Authorized official

Name
James R Rosenberg, DCNPI 1598878159
Title
Doctor of Chiropractic
Phone
(208) 384-9070

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIA1058 ID Primary

Addresses

Primary practice location

1150 W State St
Suite 220
Boise, ID 83702-5327

Mailing address

1150 W State St
Suite 220
Boise, ID 83702-5327
Phone (208) 384-9070

Other identifiers 1

IdentifierTypeStateIssuer
806980000MedicaidID

Other names 1

  • Boise Health & Wellness Center Other name

National Provider Directory

National Provider Directory

Locations

1150 W State St
Ste 220
Boise, ID 83702
Phone (208) 283-0628

5418 N Eagle Rd
Ste 110
Boise, ID 83713
Phone (208) 938-5585

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1215972005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 W STATE ST",
            "address_2": "SUITE 220",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025327",
            "telephone_number": "208-384-9070",
            "fax_number": "208-384-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 W STATE ST",
            "address_2": "SUITE 220",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025327",
            "telephone_number": "208-384-9070",
            "fax_number": "208-384-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSENBERG CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "208-384-9070",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA1058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806980000",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boise Health & Wellness Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.