NPIMap

Organization Active NPI

TLC Family Chiropractic

  • Chiropractor
  • Rigby, ID
National Provider Identifier
1508070467
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3449671202 Issued in UT
Legal business name
TLC FAMILY CHIROPRACTIC
Practice address
430 N State St
Rigby, ID 83442-1240
Phone
(208) 745-8760
NPI assigned
May 10, 2007
Last updated
Jan 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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

Authorized official

Name
Dr. Tracy Arthur McCuistion, D.C.NPI 1013985514
Title
Owner
Phone
(801) 502-9278

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3449671202 UT Primary

Addresses

Primary practice location

430 N State St
Rigby, ID 83442-1240

Mailing address

430 N State St
Rigby, ID 83442-1240
Phone (208) 745-8760

National Provider Directory

National Provider Directory

Locations

5822 S 900 E
Murray, UT 84121
Phone (801) 281-1795

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": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1508070467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 N STATE ST",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834421240",
            "telephone_number": "208-745-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 N STATE ST",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834421240",
            "telephone_number": "208-745-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "MCCUISTION",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-502-9278",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "3449671202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rigby, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.