Organization Active NPI

Dr Jeff Priebe

  • Chiropractor
  • Coeur d'Alene, ID
National Provider Identifier
1659511467
Registry record updated Mar 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA1531 Issued in ID
Legal business name
DR JEFF PRIEBE
Practice address
2025 W Park PL
Ste B
Coeur D Alene, ID 83814-2787
Phone
(208) 667-7463
Fax
(208) 667-8513
NPI assigned
Mar 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2009

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

Authorized official

Name
Dr. Jeff Priebe, D.C.
Title
Owner
Phone
(208) 667-7463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIA1531 ID Primary

Addresses

Primary practice location

2025 W Park PL
Ste B
Coeur D Alene, ID 83814-2787

Mailing address

2025 W Park PL
Ste B
Coeur D Alene, ID 83814-2787
Phone (208) 667-7463

National Provider Directory

National Provider Directory

Locations

2025 W Park Pl
#B
Coeur D Alene, ID 83814
Phone (208) 620-5210

NPI Registry JSON

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236297600000",
    "number": "1659511467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 W PARK PL",
            "address_2": "STE B",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142787",
            "telephone_number": "208-667-7463",
            "fax_number": "208-667-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 W PARK PL",
            "address_2": "STE B",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142787",
            "telephone_number": "208-667-7463",
            "fax_number": "208-667-8513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JEFF PRIEBE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-06",
        "last_updated": "2009-03-06",
        "status": "A",
        "authorized_official_last_name": "PRIEBE",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-667-7463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA1531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; 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.