Edgardo Irizarry-Nunez, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-1665 Issued in ID

Practice address

3307 Caldwell Blvd Ste 100
Nampa, ID 83651-6403

Phone

(208) 991-6064

NPI assigned

Jul 15, 2017

Last updated

May 26, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Core Wellness PLLC

  dba CORE Wellness Center

  • Chiropractor
  • Nampa, ID
  • NPI 1912418716
  Medicare reassignment
• Core Wellness Center

  • Chiropractor
  • Nampa, ID
  • NPI 1801301353
  NPD

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

{
    "created_epoch": "1500076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1386166825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3307 CALDWELL BLVD STE 100",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836516403",
            "telephone_number": "208-991-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3307 CALDWELL BLVD STE 100",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836516403",
            "telephone_number": "208-991-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIZARRY-NUNEZ",
        "first_name": "EDGARDO",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-15",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Intermountain Eye and Laser Centers PLLC
• Intermountain Physical Therapy Limited Partnership
• Intermountain Physical Therapy LP
• Mihai Irimia
• Trevor James Irish
• Courtney Scott Isaacs, DO
• It Could Be Better
• Nicole Ivers, PA-C
• Ivony Case Management
• J & J Smiles (Gem State Smiles)

• Chiropractor in Nampa, ID
• Providers in Nampa, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; 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.