Swayze Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-886 Issued in ID

Legal business name

SWAYZE CHIROPRACTIC PC

Practice address

402 W Canfield Ave
Suite 3
Coeur D Alene, ID 83815-7784

Phone

(208) 762-9000

Fax

(208) 762-9009

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Charles P Swayze P Swayze, D.C.

Title

President

Phone

(208) 762-9000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles P Swayze, D.C.

  • Chiropractor
  • Coeur D Alene, ID
  • NPI 1558362483
  Medicare reassignment
• Randall P Priebe, D.C.

  • Chiropractor
  • Hayden, ID
  • NPI 1427003532
  NPD (past)
• Ryan Franklin Webster, D.C.

  • Chiropractor
  • Ponderay, ID
  • NPI 1740247881
  NPD (past)
• Glen L Westover, D.C.

  • Chiropractor
  • Pinehurst, ID
  • NPI 1215005277
  NPD (past)
• Angela Dawn Kelly, D.C.

  • Chiropractor
  • Bethlehem, PA
  • NPI 1205899358
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1316067010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 W CANFIELD AVE",
            "address_2": "SUITE 3",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838157784",
            "telephone_number": "208-762-9000",
            "fax_number": "208-762-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W CANFIELD AVE",
            "address_2": "SUITE 3",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838157784",
            "telephone_number": "208-762-9000",
            "fax_number": "208-762-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWAYZE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A",
        "authorized_official_last_name": "SWAYZE",
        "authorized_official_first_name": "CHARLES P SWAYZE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-762-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805528100",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan M. Beglinger, LTD
• Jamie Sutlick, DPT
• Tracey L Sutton, MSW
• Oksana Svidersky, PT
• Marie Noel Swart, MD
• Charles P Swayze, D.C.
• Robert C Sween, DDS
• Denise F Sweeney, FNP
• Jean C Sweetapple, PT
• Jon Charles Swendig, RPH

• Chiropractor in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.