Chiropractic Spine Care, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA1015 Issued in ID

Legal business name

CHIROPRACTIC SPINE CARE, INC.

Practice address

10108 W Overland Rd
Ste. B
Boise, ID 83709-1428

Phone

(208) 323-8600

Fax

(208) 323-8603

NPI assigned

Dec 27, 2006

Last updated

Oct 15, 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. Micah L Randall, DCNPI 1558442301

Title

Owner

Phone

(208) 323-8600

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Micah L. Randall, DC

  • Chiropractor
  • Boise, ID
  • NPI 1558442301
  Authorized official Same address or phone

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1659436731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10108 W OVERLAND RD STE B",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091428",
            "telephone_number": "208-323-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10108 W OVERLAND RD",
            "address_2": "STE. B",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091428",
            "telephone_number": "208-323-8600",
            "fax_number": "208-323-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC SPINE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "MICAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-323-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA1015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chinese Acupuncture & Natural Therapy Center
• Della L Chipman, LCSW
• Michael Chippolla, LCSW ACADC
• Chiropractic Arts, P.a.
• Chiropractic Health Clinic, P.a.
• Sarah Chism
• Kimberlea Faye Chitwood, LMSW
• Sabrina V Chivers
• Sangil Choi
• Brian Chojnacky

• 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 Oct 15, 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.