Enso Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-1703 Issued in ID

Legal business name

ENSO CHIROPRACTIC PLLC

Practice address

903 N Main St
Meridian, ID 83642-2301

Phone

(208) 887-4747

Fax

(208) 887-4657

NPI assigned

Feb 16, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Wade Darrel Summers, D.C.NPI 1689031080

Title

Member / Chiropractor

Phone

(208) 887-4747

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Wade Summers, D.C.

  • Chiropractor
  • Meridian, ID
  • NPI 1689031080
  NPD (past) Authorized official

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455580800000",
    "number": "1407215668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3313 W CHERRY LN",
            "address_2": "PMB 703",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421119",
            "telephone_number": "208-887-4747",
            "fax_number": "208-887-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 N MAIN ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422301",
            "telephone_number": "208-887-4747",
            "fax_number": "208-887-4657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENSO CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-16",
        "last_updated": "2016-02-16",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "WADE",
        "authorized_official_middle_name": "DARREL",
        "authorized_official_title_or_position": "MEMBER / CHIROPRACTOR",
        "authorized_official_telephone_number": "208-887-4747",
        "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-1703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; 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.