Organization Active NPI

Wilhelm Chiropractic LLC

  • Chiropractor
  • Twin Falls, ID
National Provider Identifier
1568084325
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WILHELM CHIROPRACTIC LLC
Practice address
1505 Madrona St N # 900C
Twin Falls, ID 83301-8318
Phone
(208) 203-3155
NPI assigned
May 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Authorized official

Name
Cody WilhelmNPI 1811519838
Title
Owner
Phone
(208) 410-5344

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 Primary

Addresses

Primary practice location

1505 Madrona St N # 900C
Twin Falls, ID 83301-8318

Mailing address

1505 Madrona St N # 900C
Twin Falls, ID 83301-8318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200624001223 ID Part B Supplier - Clinic/Group Practice 5991127763 Receives reassigned benefits from 1 practitioner
Practice locations: Twin Falls, ID

National Provider Directory

National Provider Directory

Locations

1505 Madrona St N
#900C
Twin Falls, ID 83301
Phone (208) 203-3102

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1568084325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 MADRONA ST N # 900C",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833018318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 MADRONA ST N # 900C",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833018318",
            "telephone_number": "208-203-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILHELM CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "WILHELM",
        "authorized_official_first_name": "CODY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-410-5344"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.