NPIMap

Organization Active NPI

Rexburg Chiropractic Center

  • Chiropractor
  • Rexburg, ID
National Provider Identifier
1407014434
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH1A39 Issued in ID
Legal business name
REXBURG CHIROPRACTIC CENTER
Practice address
105 W Main St
Rexburg, ID 83440-2634
Phone
(208) 356-6772
Fax
(208) 356-8658
NPI assigned
May 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Dr. Dana R Miller, D.C.NPI 1063496966
Title
Owner
Phone
(208) 356-6772

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH1A39 ID Primary

Addresses

Primary practice location

105 W Main St
Rexburg, ID 83440-2634

Mailing address

105 W Main St
Rexburg, ID 83440-2634
Phone (208) 356-6772

National Provider Directory

National Provider Directory

Locations

105 W Main St
Rexburg, ID 83440
Phone (208) 356-6772

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1407014434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W MAIN ST",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834402634",
            "telephone_number": "208-356-6772",
            "fax_number": "208-356-8658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W MAIN ST",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834402634",
            "telephone_number": "208-356-6772",
            "fax_number": "208-356-8658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REXBURG CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-356-6772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CH1A39",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rexburg, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.