Individual provider Active NPI

William Paul Robison, D.C.

  • Chiropractor
  • Nampa, ID
National Provider Identifier
1619966140
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-1000 Issued in ID
Practice address
1511 3Rd St S
Nampa, ID 83651-4307
Phone
(208) 936-4463
Fax
(208) 936-4468
NPI assigned
Oct 18, 2005
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-1040 HI
Chiropractor 111N00000X CHIA-1000 ID Primary

Addresses

Primary practice location

1511 3Rd St S
Nampa, ID 83651-4307

Mailing address

1511 3Rd St S
Nampa, ID 83651-4307
Phone (208) 936-4463

Other practice location 1

315 7th Ave S
Nampa, ID 83651-3848
Phone (208) 467-5994

Other identifiers 4

IdentifierTypeStateIssuer
806406800MedicaidID
1369362OtherIDGROUP PTIN
1386675742OtherIDGROUP NPI
C5610OtherIDBLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060711000307 ID Practitioner - Chiropractic 0244243491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1511 3Rd St S
Nampa, ID 83651-4307
Phone (208) 936-4463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-1040HIMDChiropractor
CHIA-1000IDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Robison Chiropractic PC Chiropractor CurrentSince May 1, 2006 Accepting new patients

Locations

1511 3rd St S
Nampa, ID 83651
Phone (208) 936-4463

315 7th Ave S
Nampa, ID 83651
Phone (208) 467-5994

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1619966140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 3RD ST S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836514307",
            "telephone_number": "208-936-4463",
            "fax_number": "208-936-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 3RD ST S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836514307",
            "telephone_number": "208-936-4463",
            "fax_number": "208-936-4468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 7th Ave S",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836513848",
            "country_code": "US",
            "telephone_number": "208-467-5994",
            "fax_number": "208-467-5127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBISON",
        "first_name": "WILLIAM",
        "middle_name": "PAUL",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "DC-1040",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806406800",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTIN",
            "identifier": "1369362",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1386675742",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "C5610",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.