NPIMap

Organization Active NPI

Energetic Chiropractic PC

  • Chiropractor
  • Boise, ID
National Provider Identifier
1467729426
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-392 Issued in ID
Legal business name
ENERGETIC CHIROPRACTIC PC
Practice address
1003 N Orchard St
Boise, ID 83706-2231
Phone
(208) 376-3113
Fax
(208) 376-4114
NPI assigned
Nov 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

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

Authorized official

Name
Dr. Michael Myrth Moriarty, DC
Title
Doctor
Phone
(208) 376-3113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIA-392 ID Primary

Addresses

Primary practice location

1003 N Orchard St
Boise, ID 83706-2231

Mailing address

1003 N Orchard St
Boise, ID 83706-2231
Phone (208) 376-3113

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1467729426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 N ORCHARD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837062231",
            "telephone_number": "208-376-3113",
            "fax_number": "208-376-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 N ORCHARD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837062231",
            "telephone_number": "208-376-3113",
            "fax_number": "208-376-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENERGETIC CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-18",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "MORIARTY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "MYRTH",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "208-376-3113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.