Organization Active NPI

Dr. Jill's Family Chiropractic Center, Inc

  • Chiropractor
  • Twin Falls, ID
National Provider Identifier
1578847026
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-1419 Issued in ID
Legal business name
DR. JILL'S FAMILY CHIROPRACTIC CENTER, INC
Practice address
788 Eastland Dr Ste B
Twin Falls, ID 83301-6856
Phone
(208) 948-0065
NPI assigned
Oct 3, 2011
Last updated
Apr 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2012

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

Authorized official

Name
Dr. Jillian M Adepoju, D.C.
Title
Chiropractor
Phone
(208) 948-0065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIA-1419 ID Primary

Addresses

Primary practice location

788 Eastland Dr Ste B
Twin Falls, ID 83301-6856

Mailing address

PO Box 6007
Twin Falls, ID 83303-6007
Phone (208) 948-0065

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120326000417 ID Part B Supplier - Clinic/Group Practice 5395905566 Receives reassigned benefits from 3 practitioners
Practice locations: Twin Falls, ID

National Provider Directory

National Provider Directory

Locations

788 Eastland Dr
#B
Twin Falls, ID 83301
Phone (208) 734-3030

Practitioners & affiliated clinicians

Practitioners 3

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": "1317600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1578847026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6007",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833036007",
            "telephone_number": "208-948-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "788 EASTLAND DR STE B",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016856",
            "telephone_number": "208-948-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JILL'S FAMILY CHIROPRACTIC CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-03",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "ADEPOJU",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "208-948-0065",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1419",
            "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 Apr 2, 2012; 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.