Back in Action Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-1544 Issued in ID

Legal business name

BACK IN ACTION CHIROPRACTIC LLC

Practice address

645 N State St
Preston, ID 83263-1153

Phone

(208) 852-0411

Fax

(208) 485-8045

NPI assigned

Jan 26, 2015

Last updated

Apr 1, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Earley, DCNPI 1881945921

Title

President

Phone

(435) 554-8827

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael David Earley, DC

  • Sports Physician Chiropractor
  • Preston, ID
  • NPI 1881945921
  Authorized official Same address or phone

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427846400000",
    "number": "1437549706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 N STATE ST",
            "city": "PRESTON",
            "state": "ID",
            "postal_code": "832631153",
            "telephone_number": "208-852-0411",
            "fax_number": "208-485-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 N STATE ST",
            "city": "PRESTON",
            "state": "ID",
            "postal_code": "832631153",
            "telephone_number": "208-852-0411",
            "fax_number": "208-485-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK IN ACTION CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-04-01",
        "status": "A",
        "authorized_official_last_name": "EARLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-554-8827",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1544",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "ID",
            "license": "CHIA-1544",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Gary Allen, RPH
• Ascend Health LLC (Ascend Home Health)
• Ascend Health LLC (Ascend Hospice)
• Auralcare Hearing Centers of America, LLC (My Hearing Centers)
• Marcia B Austin, IP
• Jodie Lynn Barnes, LCPC
• Heath Tripp Bateman, DDS
• David Bradley Beckstead, MD
• John Gerard Bitwinski, M.D.
• Gordon Scott Bontrager, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; 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.