David R. Long D.C. P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-621 Issued in ID

Legal business name

DAVID R. LONG D.C. P.A.

Practice address

497 Eastland Dr
Twin Falls, ID 83301-7441

Phone

(208) 736-1976

Fax

(208) 736-1986

NPI assigned

Aug 13, 2008

Last updated

Nov 12, 2008By 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. David R Long, D.C.

Title

Owner

Phone

(208) 736-1976

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Joshua Boone Olsen, DC

  • Chiropractor
  • Burley, ID
  • NPI 1962599472
  NPD (past)

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1457507147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 EASTLAND DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833017441",
            "telephone_number": "208-736-1976",
            "fax_number": "208-736-1986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 EASTLAND DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833017441",
            "telephone_number": "208-736-1976",
            "fax_number": "208-736-1986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R. LONG D.C. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-13",
        "last_updated": "2008-11-12",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-736-1976",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "C6210",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010020543",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dallin C. Young, D.D.D, P.a. (Children's Dentistry of Twin Falls)
• Chet Dansie, CRNA
• Terry Darrington, OTL
• Stacy Davenport
• David Johnson, M.D., P. a.
• Liberty Ann Davis, RPH
• Zachary Davis, PT, DPT
• Stephen Dayton, LSW
• Justin Moroni Dazley, M.D.
• Amadea De Groot, LPC

• Chiropractor in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.