Boise Family Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-1127 Issued in ID

Legal business name

BOISE FAMILY CENTER

Practice address

411 Allumbaugh St
Boise, ID 83704-9210

Phone

(208) 375-5428

Fax

(208) 377-9453

NPI assigned

Jun 8, 2006

Organization subpart

No

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

Authorized official

Name

Michael R Forgy, MA

Title

Ceo

Phone

(208) 375-5428

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376583146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 ALLUMBAUGH ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049210",
            "telephone_number": "208-375-5428",
            "fax_number": "208-377-9453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 ALLUMBAUGH ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049210",
            "telephone_number": "208-375-5428",
            "fax_number": "208-377-9453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOISE FAMILY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FORGY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-375-5428",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.