Wirick Family Chiropractic

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

CHIA1203 Issued in ID

Legal business name

WIRICK FAMILY CHIROPRACTIC

Practice address

2238 St. Clair
Idaho Falls, ID 83404

Phone

(208) 523-1620

Fax

(208) 523-1497

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Brady Matthew Wirick, DC

Title

President

Phone

(208) 523-1620

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467535260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 ELK CREEK DRIVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "83404",
            "telephone_number": "208-523-1620",
            "fax_number": "208-523-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2238 ST. CLAIR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "83404",
            "telephone_number": "208-523-1620",
            "fax_number": "208-523-1497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIRICK FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WIRICK",
        "authorized_official_first_name": "BRADY",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-523-1620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "ID",
            "license": "CHIA1203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1164524658",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Winegar
• Shayle Wines
• Eric A Wingerson, D.O.
• Ashley Elizabeth Winward, COTA
• Jory Jarom Winward, DO
• Brady Matthew Wirick, D,C,
• Shane Oliver Withers Jr., PHARMD, BCPS
• Wixom Counseling Inc
• Wixom Counseling Online
• Bret V. Wixom, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.