Sunrise Ridge PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

TCHI-1824 Issued in ID

Legal business name

SUNRISE RIDGE PC

Practice address

218 Falls Ave Ste a
Twin Falls, ID 83301-3372

Phone

(208) 944-2399

Fax

(208) 944-0994

NPI assigned

Mar 8, 2018

Organization subpart

No

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

Authorized official

Name

Tyrel Kevin Ward, DCNPI 1437658499

Title

Chiropractor

Phone

(208) 944-2399

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyrel Kevin Ward, DC

  • Independent Medical Examiner Chiropractor
  • Twin Falls, ID
  • NPI 1437658499
  Medicare reassignment NPD Authorized official
• Erik Madsen, DC

  • Chiropractor
  • Twin Falls, ID
  • NPI 1801483193
  NPD (past)
• Craig J Manning, DC

  • Chiropractor
  • Twin Falls, ID
  • NPI 1881626018
  NPD (past)

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1497257182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 CANYON TRAIL WAY",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833010278",
            "telephone_number": "208-521-4785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 FALLS AVE STE A",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013372",
            "telephone_number": "208-944-2399",
            "fax_number": "208-944-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE RIDGE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-08",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "TYREL",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "208-944-2399",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "TCHI-1824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summit Dental Care Group, PLLC
• Summit Recovery and Wellness
• Jason Michael Sumsion, MSPT
• Sunbridge Healthcare LLC (River Ridge Care and Rehabilitation Center)
• Abbigail Jean Sundell, RDN
• Sunshine Therapy LLC (Sunshine Special Education Services)
• Charlene Surbaugh, R.N., F.A.
• Surgery Center (dba Sawtooth Surgery Center)
• Surgical Associates of Southern Id
• Cherri Anne Suter, MS CCCSLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.

Verify at the official NPI Registry.