Dr. Jason B. Welker, D.C. P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-1225 Issued in ID

Legal business name

DR. JASON B. WELKER, D.C. P.C.

Practice address

1514 S 800 W
Suite 100
Preston, ID 83263-5444

Phone

(208) 852-2875

Fax

(253) 563-5264

NPI assigned

Sep 24, 2007

Last updated

Sep 24, 2007By 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

Dr. Jason Blain Welker, DCNPI 1760566699

Title

President

Phone

(208) 852-2875

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Practitioners 1

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.

• Jason Blain Welker, D.C.

  • Chiropractor
  • Preston, ID
  • NPI 1760566699
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1295921278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 S 800 W",
            "address_2": "SUITE 100",
            "city": "PRESTON",
            "state": "ID",
            "postal_code": "832635444",
            "telephone_number": "208-852-2875",
            "fax_number": "253-563-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 S 800 W",
            "address_2": "SUITE 100",
            "city": "PRESTON",
            "state": "ID",
            "postal_code": "832635444",
            "telephone_number": "208-852-2875",
            "fax_number": "253-563-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JASON B. WELKER, D.C. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "WELKER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "BLAIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-852-2875",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS IDAHO",
            "identifier": "C5661",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "63907",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS",
            "identifier": "48517",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF IDAHO",
            "identifier": "000010159993",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDUCATORS MUTUAL",
            "identifier": "870395551JW1",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Preston, ID
• Providers in Preston, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.