Spine Align Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA1012 Issued in ID

Legal business name

SPINE ALIGN CHIROPRACTIC INC

Practice address

1491 Curlew Drive
Suite a
Ammon, ID 83406-4764

Phone

(208) 227-0400

Fax

(208) 227-0401

NPI assigned

Aug 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Todd L Reese, DCNPI 1679731707

Title

Owner

Phone

(208) 227-0400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 2

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

• Todd L Reese, DC

  • Chiropractor
  • Ammon, ID
  • NPI 1679731707
  Medicare reassignment NPD Authorized official
• Devin P Scoresby, D.C.

  • Chiropractor
  • Ammon, ID
  • NPI 1649418500
  NPD (past)

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231459200000",
    "number": "1225220148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1491 CURLEW DRIVE",
            "address_2": "SUITE A",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834064764",
            "telephone_number": "208-227-0400",
            "fax_number": "208-227-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 CURLEW DRIVE",
            "address_2": "SUITE A",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834064764",
            "telephone_number": "208-227-0400",
            "fax_number": "208-227-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE ALIGN CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2009-01-09",
        "status": "A",
        "authorized_official_last_name": "REESE",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-227-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA1012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Alan Smith, D.O.
• SNF Ammon Operating Company LLC.
• Baylee Jo Sorenson, LMSW
• Regan Spanbauer
• Speech and Language Clinic, Inc
• Marcy J Sprague, LPC
• Kenneth Stanfield
• Jaxson Layne Stark, MS
• Kelly Stark
• Ohlaina Steed, CPSS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; 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.