Active NPI
Chad Robert Webb, D.C.
- Chiropractor
- Idaho Falls, ID
National Provider Identifier
1275969206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIA-1488
- Practice address
- 1797 W Broadway St
Idaho Falls, ID 83402-3045 - Phone
- (208) 403-1212
- NPI assigned
- Sep 23, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIA-1488 | ID | Primary |
Addresses
Primary practice location
1797 W Broadway St
Idaho Falls, ID 83402-3045
Mailing address
1797 W Broadway St
Idaho Falls, ID 83402-3045
Phone (208) 403-1212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
645 S Woodruff Ave
Idaho Falls, ID 83401-5596
Phone (208) 552-9886
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIA-1488 | ID | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspen Managment Services Inc | Chiropractor | Current | Accepting new patients |
Locations
645 S Woodruff Ave
Idaho Falls, ID 83401
Phone (208) 552-9886
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Idaho Falls, ID
- NPI 1841370053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379894400000",
"number": "1275969206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1797 W BROADWAY ST",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834023045",
"telephone_number": "208-403-1212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1797 W BROADWAY ST",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834023045",
"telephone_number": "208-403-1212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBB",
"first_name": "CHAD",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-23",
"last_updated": "2013-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA-1488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.