Organization Active NPI

Treasure Valley Chiropractic PLLC

  • Chiropractor
  • Eagle, ID
National Provider Identifier
1386682292
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-1149 Issued in ID
Legal business name
TREASURE VALLEY CHIROPRACTIC PLLC
Practice address
49 N Palmetto Ave
Suite 150
Eagle, ID 83616-5149
Phone
(208) 938-8828
Fax
(866) 817-3318
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Authorized official

Name
Dr. Jeffrey T Gunnell, D.C.
Title
Owner/ Ceo
Phone
(208) 938-8828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIA-1149 ID Primary

Addresses

Primary practice location

49 N Palmetto Ave
Suite 150
Eagle, ID 83616-5149

Mailing address

49 N Palmetto Ave
Suite 150
Eagle, ID 83616-5149
Phone (208) 938-8828

Other names 1

  • The Treasure Valley Clinic of Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

49 N Palmetto Ave
Ste 150
Eagle, ID 83616
Phone (208) 938-8828

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1386682292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 N PALMETTO AVE",
            "address_2": "SUITE 150",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165149",
            "telephone_number": "208-938-8828",
            "fax_number": "866-817-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 N PALMETTO AVE",
            "address_2": "SUITE 150",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165149",
            "telephone_number": "208-938-8828",
            "fax_number": "866-817-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE VALLEY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "GUNNELL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/ CEO",
        "authorized_official_telephone_number": "208-938-8828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Treasure Valley Clinic of Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eagle, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.