Organization Active NPI

Gott Chiropractic Inc.

  • Health Service Clinic/Center
  • Nampa, ID
National Provider Identifier
1235385543
Registry record updated Dec 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
CHIA490 Issued in ID
Legal business name
GOTT CHIROPRACTIC INC.
Practice address
1012 10TH Ave S
Nampa, ID 83651-4557
Phone
(208) 794-4774
NPI assigned
Aug 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2009

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

Authorized official

Name
Dr. George Michael Gott, D.C.
Title
Ceo
Phone
(208) 794-4774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X CHIA490 ID Primary

Addresses

Primary practice location

1012 10TH Ave S
Nampa, ID 83651-4557

Mailing address

1012 10TH Ave S
Nampa, ID 83651-4557
Phone (208) 794-4774

Other identifiers 1

IdentifierTypeStateIssuer
807954500MedicaidID

National Provider Directory

National Provider Directory

Locations

1012 12th Ave S
Nampa, ID 83651
Phone (208) 466-9249

Practitioners & affiliated clinicians

Practitioners 1

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": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261094400000",
    "number": "1235385543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 10TH AVE S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836514557",
            "telephone_number": "208-794-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 10TH AVE S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836514557",
            "telephone_number": "208-794-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOTT CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2009-12-18",
        "status": "A",
        "authorized_official_last_name": "GOTT",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-794-4774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "ID",
            "license": "CHIA490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807954500",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 18, 2009; 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.