Active NPI
Treasure Valley Chiropractic PLLC
- Chiropractor
- Eagle, ID
National Provider Identifier
1386682292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIA-1149
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
National Provider Directory
National Provider DirectoryLocations
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.