Organization Active NPI

Madison Ridge Chiropractic

  • Chiropractor
  • Rexburg, ID
National Provider Identifier
1669141503
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MADISON RIDGE CHIROPRACTIC
Practice address
1096 Erikson Dr
Rexburg, ID 83440-5297
Phone
(208) 656-3205
Fax
(208) 656-3206
NPI assigned
Sep 13, 2021
Last updated
Sep 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Authorized official

Name
Emily Armstrong
Title
Office Manager
Phone
(208) 656-3205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1096 Erikson Dr
Rexburg, ID 83440-5297

Mailing address

1096 Erikson Dr
Rexburg, ID 83440-5297
Phone (208) 656-3205

Other practice location 1

104 N Bridge St Ste 111
Saint Anthony, ID 83445-1457
Phone (208) 656-3205

National Provider Directory

National Provider Directory

Locations

104 N Bridge St
Ste 111
Saint Anthony, ID 83445
Phone (208) 656-3205

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": "1631491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1669141503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1096 ERIKSON DR",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834405297",
            "telephone_number": "208-656-3205",
            "fax_number": "208-656-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1096 ERIKSON DR",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834405297",
            "telephone_number": "208-656-3205",
            "fax_number": "208-656-3206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 N Bridge St Ste 111",
            "address_purpose": "LOCATION",
            "city": "Saint Anthony",
            "state": "ID",
            "postal_code": "834451457",
            "country_code": "US",
            "telephone_number": "208-656-3205",
            "fax_number": "208-656-3206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MADISON RIDGE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-656-3205"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rexburg, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.