NPIMap

Organization Active NPI

Lean on Me Chiropractic LLC

  • Clinic/Center
  • Dalton Gardens, ID
National Provider Identifier
1659801140
Registry record updated Jun 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CHIA-1768 Issued in ID
Legal business name
LEAN ON ME CHIROPRACTIC LLC
Practice address
5624 N Government Way Ste 6
Dalton Gardens, ID 83815-7350
Phone
(208) 758-0200
Fax
(816) 605-5050
NPI assigned
Jun 15, 2017
Last updated
Jun 15, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2017

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

Authorized official

Name
Dustin S. Meyer, DCNPI 1649709221
Title
Owner/Operator
Phone
(816) 605-5050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CHIA-1768 ID Primary

Addresses

Primary practice location

5624 N Government Way Ste 6
Dalton Gardens, ID 83815-7350

Mailing address

2138 W Rousseau Dr
Coeur D Alene, ID 83815-9152
Phone (816) 605-5050

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497484800000",
    "number": "1659801140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2138 W ROUSSEAU DR",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838159152",
            "telephone_number": "816-605-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5624 N GOVERNMENT WAY STE 6",
            "city": "DALTON GARDENS",
            "state": "ID",
            "postal_code": "838157350",
            "telephone_number": "208-758-0200",
            "fax_number": "816-605-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAN ON ME CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2017-06-15",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "816-605-5050",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "ID",
            "license": "CHIA-1768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton Gardens, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; 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.