Middleton Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA 396 Issued in ID

Legal business name

MIDDLETON CHIROPRACTIC LLC

Practice address

111 E Main St
Middleton, ID 83644-5705

Phone

(208) 585-3657

Fax

(208) 585-3658

NPI assigned

May 8, 2008

Last updated

May 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. George C Squire, D.C.NPI 1255408399

Title

Physician

Phone

(208) 585-3657

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• George Chester Squire, D.C.

  • Chiropractor
  • Middleton, ID
  • NPI 1255408399
  Authorized official Same address or phone
• Chris Zuccato, DC

  • Chiropractor
  • Middleton, ID
  • NPI 1821528704
  NPD

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1649447772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E MAIN ST",
            "city": "MIDDLETON",
            "state": "ID",
            "postal_code": "836445705",
            "telephone_number": "208-585-3657",
            "fax_number": "208-585-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E MAIN ST",
            "city": "MIDDLETON",
            "state": "ID",
            "postal_code": "836445705",
            "telephone_number": "208-585-3657",
            "fax_number": "208-585-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLETON CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "SQUIRE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "208-585-3657",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA 396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002501400",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mana Services Inc.
• Tammy M Marr, LMT
• Alma Martinez, DMD, MS
• Abbey L. Mayes, PHARMD
• Jasmine E Melendez, LCSW
• Middleton Physical Therapy, LLC
• Middleton School District
• Middleton Upper Cervical Chiropractic PLLC
• Holly Kathleen Miller, M.S. CCC-SLP
• Kristin Nicole Silva Miller, RN, BSN, IBCLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.