Active NPI
Miles Ellsworth Ranck IV, DC
- Chiropractor
- Boise, ID
National Provider Identifier
1336247972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIA937
- Practice address
- 6720 W Overland Rd
Boise, ID 83709-2032 - Phone
- (208) 323-1440
- Fax
- (208) 323-1444
- NPI assigned
- Sep 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 | CHIA937 | ID | Primary |
Addresses
Primary practice location
6720 W Overland Rd
Boise, ID 83709-2032
Mailing address
6720 W Overland Rd
Boise, ID 83709-2032
Phone (208) 323-1440
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C2409 | Other | ID | BLUE CROSS OF IDAHO |
| 00010031451 | Other | ID | REGENCE BLUE SHIELD OF ID |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIA937 | ID | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kilomet Inc. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336247972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6720 W OVERLAND RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837092032",
"telephone_number": "208-323-1440",
"fax_number": "208-323-1444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6720 W OVERLAND RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837092032",
"telephone_number": "208-323-1440",
"fax_number": "208-323-1444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANCK",
"first_name": "MILES",
"middle_name": "ELLSWORTH",
"name_suffix": "IV",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA937",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF IDAHO",
"identifier": "C2409",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD OF ID",
"identifier": "00010031451",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.