Forgiven P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA798 Issued in ID

Legal business name

FORGIVEN P.A.

Doing business as

Coulter Family Chiropractic

Practice address

4619 Emerald St
Ste.102
Boise, ID 83706-2051

Phone

(208) 367-1497

Fax

(208) 385-9190

NPI assigned

Apr 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Scott C Coulter, D.C.NPI 1386704708

Title

Doctor

Phone

(208) 367-1497

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Coulter Family Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott Charles Coulter, D.C.

  • Chiropractor
  • Boise, ID
  • NPI 1386704708
  Medicare reassignment Care Compare group Authorized official
• Theresa M Cramer Coulter, D.C.

  • Chiropractor
  • Boise, ID
  • NPI 1528127453
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1649495532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4619 EMERALD ST",
            "address_2": "STE.102",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837062051",
            "telephone_number": "208-367-1497",
            "fax_number": "208-385-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4619 EMERALD ST",
            "address_2": "STE.102",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837062051",
            "telephone_number": "208-367-1497",
            "fax_number": "208-385-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORGIVEN P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "COULTER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "208-367-1497",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA798",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA797",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805211700",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coulter Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew D. Forbes, MD
• Carrie Ford
• Madison Shae Ford, RD
• Philip David Ford, PH.D., ATC, LAT
• Richard N Foreman II, MD
• Sarah Jane Forney
• Fors Functional Medicine (Fors Health Coaching)
• Antonio Marcos Forshey, DC
• Megan Nicole Forster, APRN CRNA
• Brandon Forsyth

• 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 May 20, 2009; 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.