Struble Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-1685 Issued in ID

Legal business name

STRUBLE CHIROPRACTIC INC

Practice address

1675 N Maple Grove Rd
Boise, ID 83704-6925

Phone

(208) 376-4940

Fax

(208) 376-6812

NPI assigned

Mar 16, 2017

Organization subpart

No

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

Authorized official

Name

Collin Struble, D.C.NPI 1588027379

Title

Doctor

Phone

(208) 376-4940

Specialties & licenses 1

Addresses

Other names 1

• The Wellness Center of Boise Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

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

• Collin Struble, D.C.

  • Chiropractor
  • Boise, ID
  • NPI 1588027379
  Medicare reassignment NPD Authorized official
• Brandon Keith Riebling, D.C.

  • Chiropractor
  • Meridian, ID
  • NPI 1063866895
  Medicare reassignment NPD
• Cale Christopher Kynett, DC

  • Chiropractor
  • Boise, ID
  • NPI 1154219137
  NPD

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1275074775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 N MAPLE GROVE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837046925",
            "telephone_number": "208-376-4940",
            "fax_number": "208-376-6812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 N MAPLE GROVE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837046925",
            "telephone_number": "208-376-4940",
            "fax_number": "208-376-6812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRUBLE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-16",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "STRUBLE",
        "authorized_official_first_name": "COLLIN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "208-376-4940",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Wellness Center of Boise",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Stroud, LMT
• Zachary M Stroud, PHARMD
• Sean Patrick Stroup, M.D.
• Jeanne Leslie Strozier-Wagner, M.S., R.P.T.
• Gracie J Strubel, DO
• Collin Struble, D.C.
• Jeryl Struck, RPH
• Cassandra Kaye Strunk, FDN-P, LMT
• Sally Strunk, PT
• Emily Anne Struthers, DIPL.ABT, LMT.

• 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 Mar 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.