Individual provider Active NPI

Amber R Dunford, DC

  • Chiropractor
  • Hailey, ID
National Provider Identifier
1467074559
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-2012 Issued in ID
Practice address
3030 Glenbrook Dr
Hailey, ID 83333-7602
Phone
(208) 358-0689
NPI assigned
May 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIA-2012 ID Primary

Addresses

Primary practice location

3030 Glenbrook Dr
Hailey, ID 83333-7602

Mailing address

PO Box 2791
Hailey, ID 83333-2791
Phone (208) 358-0689

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3725MAMDMental Health Counselor
CHIA-2012IDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Maitri Health Care for Women PC CurrentSince Jun 10, 2020 Accepting new patients
Bay State Physical Therapy of Randolph Inc Chiropractor Past Accepting new patients

Locations

185 Tilley Dr
Ste 57
South Burlington, VT 05403
Phone (802) 233-6692

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACAHCA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1467074559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2791",
            "city": "HAILEY",
            "state": "ID",
            "postal_code": "833332791",
            "telephone_number": "208-358-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 GLENBROOK DR",
            "city": "HAILEY",
            "state": "ID",
            "postal_code": "833337602",
            "telephone_number": "208-358-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNFORD",
        "first_name": "AMBER",
        "middle_name": "R",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-11",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-2012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hailey, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; 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.