Treasure Valley Spine & Sports Center, PLLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

CHIA-1159 Issued in ID

Legal business name

TREASURE VALLEY SPINE & SPORTS CENTER, PLLC

Practice address

1450 S Eagle Flight Way Ste 150
Boise, ID 83709-1562

Phone

(208) 672-0100

Fax

(208) 672-0200

NPI assigned

Aug 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Kyle Burtenshaw, D.C.

Title

Owner/Chiropractic Physician

Phone

(208) 672-0100

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jeremy Henry Rausch, D.C.

  • Chiropractor
  • Boise, ID
  • NPI 1679648679
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245243096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 S EAGLE FLIGHT WAY STE 150",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091562",
            "telephone_number": "208-672-0100",
            "fax_number": "208-672-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 S EAGLE FLIGHT WAY STE 150",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091562",
            "telephone_number": "208-672-0100",
            "fax_number": "208-672-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE VALLEY SPINE & SPORTS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURTENSHAW",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "208-672-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "ID",
            "license": "CHIA-1159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Treasure Valley Periodontics
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• Treasure Valley Rossiter, LLC
• Treasure Valley Senior Living, Inc.
• Treasure Valley Speech and Language, LLC
• Treasure Valley Surgical Assistants
• Treasure Valley Therapy, LLC
• Tree City Eyecare PLLC
• Tree City Family Dental
• Tree City Wellness, LLC

• Health Service Clinic/Center in Boise, ID
• Providers in Boise, ID by specialty
• Health Service Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.