Iaccino Holdings PLLC

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

CHIA-1537 Issued in ID

Legal business name

IACCINO HOLDINGS PLLC

Practice address

223 N 6TH St Ste 40
Boise, ID 83702-6092

Phone

(661) 674-7854

NPI assigned

Jan 13, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Iaccino, DC, MS

Title

Owner/ Clinic Director

Phone

(661) 674-7854

Specialties & licenses 1

Addresses

Other names 1

• Resolve Functional Health Doing business as

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1669861746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 N 6TH ST STE 40",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026092",
            "telephone_number": "661-674-7854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 N 6TH ST STE 40",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026092",
            "telephone_number": "661-674-7854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IACCINO HOLDINGS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "IACCINO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/ CLINIC DIRECTOR",
        "authorized_official_telephone_number": "661-674-7854",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, MS"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "ID",
            "license": "CHIA-1537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Resolve Functional Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Justin Hyer, RN
• Douglas Craig Hymas, D.D.S.
• Danielle Hynds, NP
• Gayle Anne Hynes, PT
• Alex Peter Hytros, PHARMD
• Suzanne Iannaccone, LCSW
• Tadamasa Iba, DO
• Nurudeen Ibrahim, NP
• Ica Cath Lab LLC
• Kendra W Ickes

• Nutrition Chiropractor in Boise, ID
• Providers in Boise, ID by specialty
• Nutrition Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.