Organization Active NPI

Storey Chiropractic Clinic PC

  • Chiropractor
  • Boise, ID
National Provider Identifier
1669782967
Registry record updated Dec 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA 554 Issued in ID
Legal business name
STOREY CHIROPRACTIC CLINIC PC
Practice address
50 S Broadway Ave
Suite a
Boise, ID 83702-7283
Phone
(208) 345-2211
Fax
(208) 345-2097
NPI assigned
Oct 20, 2010
Last updated
Dec 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2010

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

Authorized official

Name
Dr. Ronald J Storey, DCNPI 1245262005
Title
President
Phone
(208) 345-2211

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
Chiropractor 111N00000X CHIA 554 ID Primary

Addresses

Primary practice location

50 S Broadway Ave
Suite a
Boise, ID 83702-7283

Mailing address

50 S Broadway Ave
Suite a
Boise, ID 83702-7283
Phone (208) 345-2211

National Provider Directory

National Provider Directory

Locations

50 S Broadway Ave
Boise, ID 83702
Phone (208) 345-2211

50 S Broadway Ave
#A
Boise, ID 83702
Phone (208) 345-2211

Practitioners & affiliated clinicians

Practitioners 2

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": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291939200000",
    "number": "1669782967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S BROADWAY AVE",
            "address_2": "SUITE A",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837027283",
            "telephone_number": "208-345-2211",
            "fax_number": "208-345-2097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S BROADWAY AVE",
            "address_2": "SUITE A",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837027283",
            "telephone_number": "208-345-2211",
            "fax_number": "208-345-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOREY CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-12-10",
        "status": "A",
        "authorized_official_last_name": "STOREY",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-345-2211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA 554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; 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.