Active NPI
Nathan Allen Spangler, D.C.
- Chiropractor
- Boise, ID
National Provider Identifier
1588947360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIA-1478
- Practice address
- 1625 W State St Ste 100
Boise, ID 83702-4003 - Phone
- (208) 336-0017
- Fax
- (208) 439-7657
- NPI assigned
- Sep 27, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIA-1478 | ID | Primary |
| Chiropractor | 111N00000X | 013596-01 | NY |
Addresses
Primary practice location
1625 W State St Ste 100
Boise, ID 83702-4003
Mailing address
3858 N Garden Center Way
101
Boise, ID 83703-5008
Phone (208) 598-4456
Other practice location 1
2709 Genesee St
Utica, NY 13501-6222
Phone (315) 797-1908
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013596-01 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dupont Wellness PLLC | Single Specialty | Current | Accepting new patients |
| Action Point Physical Therapy LLC | Past | Accepting new patients |
Locations
1625 W State St
#100
Boise, ID 83702
Phone (208) 336-0017
Organizations & group practices 2
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.
-
- Rehabilitation Clinic/Center
- Sandpoint, ID
- NPI 1821502204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686268800000",
"number": "1588947360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3858 N GARDEN CENTER WAY",
"address_2": "101",
"city": "BOISE",
"state": "ID",
"postal_code": "837035008",
"telephone_number": "208-598-4456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 W STATE ST STE 100",
"city": "BOISE",
"state": "ID",
"postal_code": "837024003",
"telephone_number": "208-336-0017",
"fax_number": "208-439-7657"
}
],
"practiceLocations": [
{
"address_1": "2709 Genesee St",
"address_purpose": "LOCATION",
"city": "Utica",
"state": "NY",
"postal_code": "135016222",
"country_code": "US",
"telephone_number": "315-797-1908",
"fax_number": "315-797-1193",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPANGLER",
"first_name": "NATHAN",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-27",
"last_updated": "2023-06-09",
"certification_date": "2023-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA-1478",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NY",
"license": "013596-01",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.