NPIMap

Organization Active NPI

Middleton Upper Cervical Chiropractic PLLC

  • Chiropractor
  • Middleton, ID
National Provider Identifier
1306368626
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-1708 Issued in ID
Legal business name
MIDDLETON UPPER CERVICAL CHIROPRACTIC PLLC
Practice address
111 E Main St
Middleton, ID 83644-5705
Phone
(208) 585-3657
Fax
(208) 585-3658
NPI assigned
Jul 7, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Christopher Anthony Zuccato, DC
Title
Doctor/Owner
Phone
(208) 585-3657

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIA-1708 ID Primary

Addresses

Primary practice location

111 E Main St
Middleton, ID 83644-5705

Mailing address

111 E Main St
Middleton, ID 83644-5705
Phone (208) 585-3657

National Provider Directory

National Provider Directory

Locations

111 E Main St
Middleton, ID 83644
Phone (208) 585-3657

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1306368626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E MAIN ST",
            "city": "MIDDLETON",
            "state": "ID",
            "postal_code": "836445705",
            "telephone_number": "208-585-3657",
            "fax_number": "208-585-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E MAIN ST",
            "city": "MIDDLETON",
            "state": "ID",
            "postal_code": "836445705",
            "telephone_number": "208-585-3657",
            "fax_number": "208-585-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLETON UPPER CERVICAL CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ZUCCATO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "208-585-3657",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleton, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.