TLC Family Chiropractic

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

Organization subpart

No

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.

Title

Owner

Phone

(801) 502-9278

Specialties & licenses 1

Addresses

Locations

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": []
}

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• 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.