Cramer Chiropractic PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

HHIA381 Issued in ID

Legal business name

CRAMER CHIROPRACTIC PA

Practice address

8305 Northview St
Boise, ID 83704-7133

Phone

(208) 377-2266

Fax

(208) 377-2268

NPI assigned

Jan 16, 2008

Organization subpart

No

Name

Dr. Jerry B. Cramer, D.C.NPI 1942353347

Title

President

Phone

(208) 377-2266

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

• Jerry Brent Cramer, D.C.

  • Chiropractor
  • Boise, ID
  • NPI 1942353347
  NPD (past) Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 16, 2008.

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1669658019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8305 NORTHVIEW ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837047133",
            "telephone_number": "208-377-2266",
            "fax_number": "208-377-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8305 NORTHVIEW ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837047133",
            "telephone_number": "208-377-2266",
            "fax_number": "208-377-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAMER CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "CRAMER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-377-2266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "HHIA381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010008192",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "CHIA 3811",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Traci Crabb, PSY.D.
• Samantha Cragg, M.D.
• Craig D. Blaisdell, DDS, PLLC
• Amanda Jean Craig, OTR/L
• Kay Craig, PT
• Theresa M Cramer Coulter, D.C.
• Jerry Brent Cramer, D.C.
• John Preston Cramer, LPC
• Julie Ann Crandall
• Kathleen M Crane, CRNFA

• All providers in Boise, ID
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.