Active NPI
Jerome F Inghilterra, D.C.
- Chiropractor
- Coeur D Alene, ID
National Provider Identifier
1306264452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIA-696
- Practice address
- 1256 E Katie CT
Coeur D Alene, ID 83815-9295 - Phone
- (208) 277-7184
- NPI assigned
- Apr 4, 2014
- 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-696 | ID | Primary |
Addresses
Primary practice location
1256 E Katie CT
Coeur D Alene, ID 83815-9295
Mailing address
1256 E Katie CT
Coeur D Alene, ID 83815-9295
Phone (208) 277-7184
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIA-696 | ID | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396569600000",
"number": "1306264452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1256 E KATIE CT",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838159295",
"telephone_number": "208-277-7184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1256 E KATIE CT",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838159295",
"telephone_number": "208-277-7184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGHILTERRA",
"first_name": "JEROME",
"middle_name": "F",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-04",
"last_updated": "2014-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA-696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Infectious Disease Medicine LLC
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- Inland Northwest Anesthesia PLLC
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- Inland Northwest Renal Care Group, LLC
- Inland Northwest Renal Care Group, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.