Idaho Heart Institute PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

M7163 Issued in ID

Legal business name

IDAHO HEART INSTITUTE PC

Practice address

2985 Cortez Ave
Idaho Falls, ID 83404-7554

Phone

(208) 523-3373

Fax

(208) 523-8746

NPI assigned

Sep 5, 2006

Organization subpart

No

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

Authorized official

Name

John Dennis Chambers, M.D.

Title

President

Phone

(208) 523-3373

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1477656718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2985 CORTEZ AVE",
            "city": "IDAHO FALLLS",
            "state": "ID",
            "postal_code": "83404",
            "telephone_number": "208-523-3373",
            "fax_number": "208-523-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2985 CORTEZ AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047554",
            "telephone_number": "208-523-3373",
            "fax_number": "208-523-8746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO HEART INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-523-3373",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "ID",
            "license": "M7163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Idaho Falls Surgical Specialists, PLLC
• Idaho Family Vision PLLC
• Idaho Foot Center
• Idaho Foot Center PC
• Idaho Foot Surgery Center PC
• Idaho Heart Physician Group PLLC
• Idaho Holistic Therapy Group
• Idaho Home Health & Hospice, Inc.
• Idaho Neurosurgery & Spine PLLC
• Idaho Neurosurgical Center, PA

• Specialist in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.