Organization Active NPI

Innate Health Chiropractic Center P.C.

  • Chiropractor
  • Meridian, ID
National Provider Identifier
1396148433
Registry record updated Oct 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
INNATE HEALTH CHIROPRACTIC CENTER P.C.
Practice address
1560 N. Crestmont Dr., Ste. E
Meridian, ID 83642-2178
Phone
(208) 884-2885
NPI assigned
Oct 3, 2014
Last updated
Oct 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2014

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

Authorized official

Name
Kyle Kurscheidt
Title
President
Phone
(920) 418-1407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1560 N. Crestmont Dr., Ste. E
Meridian, ID 83642-2178

Mailing address

1560 N. Crestmont Dr., Ste. E
Meridian, ID 83642-2178
Phone (208) 884-2885

National Provider Directory

National Provider Directory

Locations

1560 N Crestmont Dr
Ste E
Meridian, ID 83642
Phone (208) 288-1776

NPI Registry JSON

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1396148433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 N. CRESTMONT DR., STE. E",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422178",
            "telephone_number": "208-884-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 N. CRESTMONT DR., STE. E",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422178",
            "telephone_number": "208-884-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNATE HEALTH CHIROPRACTIC CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-03",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "KURSCHEIDT",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-418-1407"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; 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.