Active NPI
Gott Chiropractic Inc.
- Health Service Clinic/Center
- Nampa, ID
National Provider Identifier
1235385543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- CHIA490
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 807954500 | Medicaid | ID |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Nampa, ID
- NPI 1497785679
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.