NPIMap

Organization Active NPI

Jeffrey L. Chandler, DPM

  • Durable Medical Equipment & Medical Supplies
  • Boise, ID
National Provider Identifier
1376835363
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
P-73 Issued in ID
Legal business name
JEFFREY L. CHANDLER, DPM
Practice address
222 N 2ND St Ste 301
Boise, ID 83702-6131
Phone
(208) 344-3324
Fax
(208) 344-4349
NPI assigned
May 9, 2011
Last updated
May 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2011

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

Authorized official

Name
Dr. Jeffrey L Chandler, DPMNPI 1659354470
Title
Podiatrist
Phone
(208) 344-3324

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X P-73 ID Primary

Addresses

Primary practice location

222 N 2ND St Ste 301
Boise, ID 83702-6131

Mailing address

222 N 2ND St Ste 301
Boise, ID 83702-6131
Phone (208) 344-3324

Other identifiers 4

IdentifierTypeStateIssuer
1659354470MedicaidID
480033367OtherRAILROAD MEDICARE
10015614OtherBLUE SHIELD OF IDAHO
P0730OtherIDBLUE CROSS IDAHO

National Provider Directory

National Provider Directory

Locations

222 N 2nd St
Ste 301
Boise, ID 83702
Phone (208) 344-3324

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": "1304899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1376835363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N 2ND ST STE 301",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026131",
            "telephone_number": "208-344-3324",
            "fax_number": "208-344-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N 2ND ST STE 301",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026131",
            "telephone_number": "208-344-3324",
            "fax_number": "208-344-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY L. CHANDLER, DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-09",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "CHANDLER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "208-344-3324",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "ID",
            "license": "P-73",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659354470",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480033367",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF IDAHO",
            "identifier": "10015614",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS IDAHO",
            "identifier": "P0730",
            "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 May 17, 2011; 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.