Organization Active NPI

JC2 Enterprises LLC

Doing business as Precision Chiropractic

  • Chiropractor
  • Fruitland, ID
National Provider Identifier
1508036344
Registry record updated Jan 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-852 Issued in ID
Legal business name
JC2 ENTERPRISES LLC
Doing business as
Precision Chiropractic
Practice address
1710 N Whitley Dr Ste C
Fruitland, ID 83619-2183
Phone
(208) 452-6453
Fax
(208) 452-1217
NPI assigned
Mar 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2022

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

Authorized official

Name
Dr. Michael Allen Duncan, DCNPI 1346333747
Title
Owner/Manager
Phone
(208) 452-6453

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIA-852 ID Primary

Addresses

Primary practice location

1710 N Whitley Dr Ste C
Fruitland, ID 83619-2183

Mailing address

1710 N Whitley Dr Ste C
Fruitland, ID 83619-2183
Phone (208) 452-6453

Other names 1

  • Precision Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

127 N Whitley Dr
Fruitland, ID 83619
Phone (208) 452-6453

1710 N Whitley Dr
Ste C
Fruitland, ID 83619
Phone (208) 452-6453

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643500800000",
    "number": "1508036344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 N WHITLEY DR STE C",
            "city": "FRUITLAND",
            "state": "ID",
            "postal_code": "836192183",
            "telephone_number": "208-452-6453",
            "fax_number": "208-452-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 N WHITLEY DR STE C",
            "city": "FRUITLAND",
            "state": "ID",
            "postal_code": "836192183",
            "telephone_number": "208-452-6453",
            "fax_number": "208-452-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC2 ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2022-01-30",
        "certification_date": "2022-01-30",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "208-452-6453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fruitland, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2022; 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.