Reset P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1106 Issued in ID

Legal business name

RESET P.A.

Doing business as

Bear Lake Family Chiropractic

Practice address

710 N 4TH St
Montpelier, ID 83254-1050

Phone

(208) 847-2273

Fax

(208) 847-0678

NPI assigned

Aug 30, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew Brinton Stevens, D.C.NPI 1013027952

Title

President/Owner

Phone

(208) 847-2273

Specialties & licenses 1

Addresses

Other names 1

• Bear Lake Family Chiropractic Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Brinton Stevens, D.C.

  • Chiropractor
  • Montpelier, ID
  • NPI 1013027952
  NPD (past) Authorized official
• Cory P. Kingston, B.S., D.C.

  • Chiropractor
  • Logan, UT
  • NPI 1366432346
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265542435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26",
            "city": "MONTPELIER",
            "state": "ID",
            "postal_code": "832540026",
            "telephone_number": "208-847-2273",
            "fax_number": "208-847-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N 4TH ST",
            "city": "MONTPELIER",
            "state": "ID",
            "postal_code": "832541050",
            "telephone_number": "208-847-2273",
            "fax_number": "208-847-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESET P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "BRINTON",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "208-847-2273",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "1106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bear Lake Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Olson's Modern Drug Co.
• Olympus Laboratories, LLC
• Nicholas Merrill Packer, M.D.
• Joseph Edward Podany Jr., MD
• Jamie Prince Bartschi, MMT, MT-BC
• Houston Reynolds, MD
• Anthony Stafford Ruud, PHARM-D
• Steven D. Hammond DDS PA
• Matthew Brinton Stevens, D.C.
• Doris Faye Thornock

• Chiropractor in Montpelier, ID
• Providers in Montpelier, ID by specialty
• Chiropractor 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.