Michael Craig Callis, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-952 Issued in ID

Practice address

2053 E Fairview Ave
Suite #107
Meridian, ID 83642-8043

Phone

(208) 353-1743

Fax

(208) 895-0978

NPI assigned

Apr 11, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285857797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 W TUMBLE CREEK DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428241",
            "telephone_number": "208-353-1743",
            "fax_number": "208-895-8176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2053 E FAIRVIEW AVE",
            "address_2": "SUITE #107",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428043",
            "telephone_number": "208-353-1743",
            "fax_number": "208-895-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLIS",
        "first_name": "MICHAEL",
        "middle_name": "CRAIG",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elias David Elkas Calkins
• Benjamin Call, APRN
• Tyler Callahan
• Michael E Callender, LCPC
• Gregory B Callis, D.C.
• Aaron Robert Calvano, RDN
• Allison L Calverley, BS
• Ray Edward Cammack, M. ED., LCPC
• John W Cammann, DMD
• Michael M Cammann, DMD

• Chiropractor in Meridian, ID
• Providers in Meridian, 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.