Organization Active NPI

Chiro Plus

  • Chiropractor
  • Hayden, ID
National Provider Identifier
1508910373
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA709 Issued in ID
Legal business name
CHIRO PLUS
Practice address
15 W Honeysuckle Ave
Hayden, ID 83835-2376
Phone
(208) 762-1414
Fax
(208) 762-1433
NPI assigned
Jan 22, 2007
Last updated
Jan 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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

Authorized official

Name
John L Traviss, CH
Title
Clinic Director
Phone
(208) 762-1414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIA709 ID Primary

Addresses

Primary practice location

15 W Honeysuckle Ave
Hayden, ID 83835-2376

Mailing address

PO Box 2376
Hayden, ID 83835-2376
Phone (208) 762-1414

National Provider Directory

National Provider Directory

Locations

15 W Honeysuckle Ave
Hayden, ID 83835
Phone (208) 762-1414

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": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1508910373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2376",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838352376",
            "telephone_number": "208-762-1414",
            "fax_number": "208-762-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W HONEYSUCKLE AVE",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838352376",
            "telephone_number": "208-762-1414",
            "fax_number": "208-762-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRO PLUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "TRAVISS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "208-762-1414",
        "authorized_official_credential": "CH"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayden, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.