Individual provider Active NPI

Anthony Leon Strasser, D.C.

  • Chiropractor
  • Payette, ID
National Provider Identifier
1346297942
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-1173 Issued in ID
Practice address
828 Center Ave
Payette, ID 83661-2536
Phone
(208) 642-2344
Fax
(208) 642-4060
NPI assigned
May 28, 2006
Last updated
May 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIA-1173 ID Primary

Addresses

Primary practice location

828 Center Ave
Payette, ID 83661-2536

Mailing address

828 Center Ave
Payette, ID 83661-2536
Phone (208) 642-2344

Other identifiers 1

IdentifierTypeStateIssuer
807536600MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071106000547 ID Practitioner - Chiropractic 8729090881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

828 Ctr Ave
Payette, ID 83661-2536
Phone (208) 642-2344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIA-1173IDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Alpine Family Corporation Chiropractor CurrentSince Apr 2, 2007 Accepting new patients

Locations

540 S 16th St
Ste 118
Payette, ID 83661
Phone (208) 297-8889

828 Center Ave
Payette, ID 83661
Phone (208) 642-2344

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": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1346297942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 CENTER AVE",
            "city": "PAYETTE",
            "state": "ID",
            "postal_code": "836612536",
            "telephone_number": "208-642-2344",
            "fax_number": "208-642-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 CENTER AVE",
            "city": "PAYETTE",
            "state": "ID",
            "postal_code": "836612536",
            "telephone_number": "208-642-2344",
            "fax_number": "208-642-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRASSER",
        "first_name": "ANTHONY",
        "middle_name": "LEON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2024-05-09",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807536600",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Payette, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.