NPIMap

Organization Active NPI

Mobile Chiropractic and Wellness PLLC

  • Chiropractor
  • Meridian, ID
National Provider Identifier
1457885170
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-1661 Issued in ID
Legal business name
MOBILE CHIROPRACTIC AND WELLNESS PLLC
Practice address
3784 N Chocaya PL
Meridian, ID 83646-6075
Phone
(208) 570-9388
NPI assigned
Apr 19, 2017
Last updated
Apr 19, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Authorized official

Name
Jillaine Dawn St.Michel, D.C.NPI 1972978427
Title
Owner
Phone
(208) 570-9388

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
Chiropractor 111N00000X CHIA-1661 ID Primary

Addresses

Primary practice location

3784 N Chocaya PL
Meridian, ID 83646-6075

Mailing address

3784 N Chocaya PL
Meridian, ID 83646-6075
Phone (208) 570-9388

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1457885170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3784 N CHOCAYA PL",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466075",
            "telephone_number": "208-570-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3784 N CHOCAYA PL",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466075",
            "telephone_number": "208-570-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE CHIROPRACTIC AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "ST.MICHEL",
        "authorized_official_first_name": "JILLAINE",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-570-9388",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.