Active NPI
Daniel Parkinson, DC
- Chiropractor
- Rexburg, ID
National Provider Identifier
1487293056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIA-1989
- Practice address
- 136 S 1St W
Rexburg, ID 83440-1817 - Phone
- (208) 296-6216
- NPI assigned
- Dec 31, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIA-1989 | ID | Primary |
Addresses
Primary practice location
136 S 1St W
Rexburg, ID 83440-1817
Mailing address
PO Box 821
Rexburg, ID 83440-0821
Phone (208) 296-6216
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200227000510 | ID | Practitioner - Chiropractic | 1557798881 | Practice locations: Rexburg, ID |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1134 Bond Ave
Rexburg, ID 83440-3582
Phone (208) 296-6216
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIA-1989 | ID | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710892800000",
"number": "1487293056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 821",
"city": "REXBURG",
"state": "ID",
"postal_code": "834400821",
"telephone_number": "208-296-6216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 S 1ST W",
"city": "REXBURG",
"state": "ID",
"postal_code": "834401817",
"telephone_number": "208-296-6216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKINSON",
"first_name": "DANIEL",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-12-31",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA-1989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rexburg, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.