Jerome Family Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-1795 Issued in ID

Legal business name

JEROME FAMILY CHIROPRACTIC

Practice address

1100 N Lincoln Ave
Jerome, ID 83338-1856

Phone

(208) 324-6656

NPI assigned

Oct 20, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Alan Hanson, DC

Title

Doctor of Chiropractic

Phone

(208) 670-0642

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508457600000",
    "number": "1407367196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 FALLS AVE W APT G208",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014028",
            "telephone_number": "208-670-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N LINCOLN AVE",
            "city": "JEROME",
            "state": "ID",
            "postal_code": "833381856",
            "telephone_number": "208-324-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROME FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-20",
        "last_updated": "2017-10-20",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "208-670-0642",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James S Irwin, M.D.
• Christine M Ivie, LPC - 815
• Troy M Jackman, PHARMD
• Tonya Lynn Jepson, LPC
• Jerome Chiropractic Clinic PLLC
• Jerome Toothtown PLLC
• Johnson Chiropractic Clinic
• Laura Marie Johnson Stevenson, BS DC CCEP
• Brian Lee Johnson, M.D.
• Elizabeth Jo Johnson, M.D.

• All providers in Jerome, ID
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2017; 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.