Collin Struble, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-1685 Issued in ID

Practice address

1675 N Maple Grove Rd
Boise, ID 83704-6925

Phone

(208) 376-4940

Fax

(208) 376-6812

NPI assigned

Mar 30, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Struble Chiropractic Inc

  • Chiropractor
  • Boise, ID
  • NPI 1275074775
  Medicare reassignment NPD Authorized official
• River City Chiropractic, Inc.

  • Chiropractor
  • Post Falls, ID
  • NPI 1518080373
  Medicare reassignment NPD

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1588027379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 N MAPLE GROVE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837046925",
            "telephone_number": "208-376-4940",
            "fax_number": "208-376-6812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 N MAPLE GROVE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837046925",
            "telephone_number": "208-376-4940",
            "fax_number": "208-376-6812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUBLE",
        "first_name": "COLLIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-30",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary M Stroud, PHARMD
• Sean Patrick Stroup, M.D.
• Jeanne Leslie Strozier-Wagner, M.S., R.P.T.
• Gracie J Strubel, DO
• Struble Chiropractic Inc
• Jeryl Struck, RPH
• Cassandra Kaye Strunk, FDN-P, LMT
• Sally Strunk, PT
• Emily Anne Struthers, DIPL.ABT, LMT.
• Amanda Elizabeth Stubbs, LMSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.