Active NPI
Schreck Chiropractic and Wellness
- Chiropractor
- Emmett, ID
National Provider Identifier
1487065397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIA1512
- Legal business name
- SCHRECK CHIROPRACTIC AND WELLNESS
- Practice address
- 701 S Washington Ave
Emmett, ID 83617-3526 - Phone
- (208) 365-1392
- Fax
- (208) 365-4950
- NPI assigned
- May 13, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jason Chirstopher Schreck, DC
- Title
- Chiropractor
- Phone
- (208) 365-1392
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIA1512 | ID | Primary |
Addresses
Primary practice location
701 S Washington Ave
Emmett, ID 83617-3526
Mailing address
701 S Washington Ave
Emmett, ID 83617-3526
Phone (208) 365-1392
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Emmett, ID
- NPI 1417295619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399939200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1399939200000",
"number": "1487065397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 S WASHINGTON AVE",
"city": "EMMETT",
"state": "ID",
"postal_code": "836173526",
"telephone_number": "208-365-1392",
"fax_number": "208-365-4950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 S WASHINGTON AVE",
"city": "EMMETT",
"state": "ID",
"postal_code": "836173526",
"telephone_number": "208-365-1392",
"fax_number": "208-365-4950"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCHRECK CHIROPRACTIC AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-13",
"last_updated": "2014-05-13",
"status": "A",
"authorized_official_last_name": "SCHRECK",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "CHIRSTOPHER",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "208-365-1392",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA1512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Emmett, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.