Alliance Soft Tissue Center

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

CHIA-1233 Issued in ID

Legal business name

ALLIANCE SOFT TISSUE CENTER

Practice address

4700 N Cloverdale Rd
Suite 102
Boise, ID 83713-1081

Phone

(208) 322-7900

Fax

(208) 322-6405

NPI assigned

Sep 20, 2011

Last updated

Feb 12, 2013By 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

Daniel E Race, D.C.NPI 1215077516

Title

Owner

Phone

(208) 949-5592

Specialties & licenses 1

Addresses

Locations

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.

• Daniel Edward Race, D.C.

  • Naturopath
  • Meridian, ID
  • NPI 1215077516
  Authorized official Same address or phone

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360627200000",
    "number": "1306129002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 N CLOVERDALE RD",
            "address_2": "SUITE 102",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837131081",
            "telephone_number": "208-322-7900",
            "fax_number": "208-322-6405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N CLOVERDALE RD",
            "address_2": "SUITE 102",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837131081",
            "telephone_number": "208-322-7900",
            "fax_number": "208-322-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE SOFT TISSUE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-20",
        "last_updated": "2013-02-12",
        "status": "A",
        "authorized_official_last_name": "RACE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-949-5592",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "ID",
            "license": "CHIA-1233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alliance Medical Group, LLC (Primary Health Medical Group)
• Alliance Medical Group, LLC (Primary Health Medical Group)
• Alliance Medical Group, LLC (Primary Health Medical Group)
• Alliance Medical Group, LLC (Primary Health Medical Group)
• Alliance Physical Medicine
• Allied Care Givers
• Allied Orthopaedics LLC
• Allied Orthopaedics, LLC (Allied Orthopaedics)
• Brittany Rebekka Allin-Goss
• Bradley Dale Allison, LAT, ATC

• Rehabilitation Chiropractor in Boise, ID
• Providers in Boise, ID by specialty
• Rehabilitation Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.