Cory Scot Hawkins, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-738 Issued in ID

Practice address

7750 Crestwood Dr
Ste 1
Boise, ID 83704-3000

Phone

(208) 376-5433

Fax

(208) 376-5636

NPI assigned

Apr 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Celebrate Life Wellness Center, LLC

  • Chiropractor
  • Boise, ID
  • NPI 1942407333
  NPD

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245353614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8474 W SUN DISK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837142509",
            "telephone_number": "208-853-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 CRESTWOOD DR",
            "address_2": "STE 1",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837043000",
            "telephone_number": "208-376-5433",
            "fax_number": "208-376-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "CORY",
        "middle_name": "SCOT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010021263",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "C7382",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haven Behavioral Outpatient Services of Boise, LLC (Cottonwood Creek Wellness Center - Lost River)
• Haven Eeoi Holdings LLC (Haven Specialty Home Care)
• Eliza Haven
• Havenwood Caregiver Services of Idaho, LLC
• Logan Makayla Hawker, PA
• Heidi Leigh Hawkins
• Jamie Lynn Hawkins, PA-C
• Jennifer L Hawkins, BSN
• Kristin N Hawkins, PA-C
• Marie A Hawkins, PMHNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.