Michael Rae Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA1332 Issued in ID

Legal business name

MICHAEL RAE CHIROPRACTIC PLLC

Practice address

1149 W Boise Ave
Boise, ID 83706-3503

Phone

(208) 345-3630

Fax

(208) 345-3640

NPI assigned

May 17, 2013

Organization subpart

No

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

Authorized official

Name

Michael Dennis Rae, D.C.NPI 1194057802

Title

Doctor of Chiropractic/ Owner

Phone

(208) 345-3630

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Michael D. Rae, D.C.

  • Chiropractor
  • Boise, ID
  • NPI 1194057802
  NPD (past) Authorized official

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368748800000",
    "number": "1265878136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1149 W BOISE AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837063503",
            "telephone_number": "208-345-3630",
            "fax_number": "208-345-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 W BOISE AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837063503",
            "telephone_number": "208-345-3630",
            "fax_number": "208-345-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL RAE CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-17",
        "last_updated": "2013-05-17",
        "status": "A",
        "authorized_official_last_name": "RAE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC/ OWNER",
        "authorized_official_telephone_number": "208-345-3630",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA1332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1194057802",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael J Coughlin, MD, PA
• Michael J. Eisenbeiss, Sr. Dba Boise Psychological Services
• Michael J. Moorhouse Inc.
• Michael Obrien MD PA
• Michael R Bailey MD DDS PA
• Michael Shipp DMD, P.a.
• Michael V Hajjar MD
• Erin Michaelis, NP
• Mark Michaud, MD
• Michele L Boyer MD CHTD

• 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 May 17, 2013; 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.