Elite Spinal Performance Chiropractic PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ELITE SPINAL PERFORMANCE CHIROPRACTIC PA

Practice address

661 S Woodruff Ave
Idaho Falls, ID 83401-5596

Phone

(208) 557-9616

Fax

(208) 534-5816

NPI assigned

Sep 8, 2020

Last updated

Sep 8, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Derek C Calaway, DCNPI 1639655970

Title

Owner

Phone

(208) 557-9616

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Derek C Calaway, DC

  • Chiropractor
  • Idaho Falls, ID
  • NPI 1639655970
  NPD Authorized official
• Samuel Wade Croft, DC

  • Chiropractor
  • Idaho Falls, ID
  • NPI 1114571726
  NPD

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1548875495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 S WOODRUFF AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834015596",
            "telephone_number": "208-557-9616",
            "fax_number": "208-534-5816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 S WOODRUFF AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834015596",
            "telephone_number": "208-557-9616",
            "fax_number": "208-534-5816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SPINAL PERFORMANCE CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "CALAWAY",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-557-9616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elison Orthodontics PLLC (Joseph H. Elison and/or Joseph Matthew Elison)
• Joseph Hyrum Elison, DDSMS
• Joseph Matthew Elison, DDSMS
• Michael Aaron Elison, DMD
• Elite Dental Care, PLLC
• Elizabeth a Sharp-Marsden FNP PLLC
• Sheri Lisa Elkington
• Mark Alan Ellett, AGACNP
• Christy Jean Ellingford, CMT
• Clinton Ellingson, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.