Blue Lakes Chiropractic, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BLUE LAKES CHIROPRACTIC, PA

Practice address

1122 Eastland Dr N # 2
Twin Falls, ID 83301-8444

Phone

(208) 734-9531

Fax

(208) 733-6969

NPI assigned

Jul 12, 2006

Organization subpart

No

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

Authorized official

Name

Howard R Arrington, DCNPI 1063576619

Title

President

Phone

(208) 734-9531

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 9

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

• Howard Rusty Arrington, D.C.

  • Nurse Practitioner
  • Twin Falls, ID
  • NPI 1063576619

  Chiropractor

  Medicare reassignment NPD Authorized official
• Dustin Tsuyoshi Nukaya, DC

  • Chiropractor
  • Twin Falls, ID
  • NPI 1902638208
  Medicare reassignment Care Compare group NPD
• Joshua Boone Olsen, DC

  • Chiropractor
  • Burley, ID
  • NPI 1962599472
  Medicare reassignment Care Compare group NPD
• Tanner Wray, DC

  • Chiropractor
  • Twin Falls, ID
  • NPI 1063987147
  Medicare reassignment
• Geoffroi Andre Golay, D.C.

  • Chiropractor
  • Twin Falls, ID
  • NPI 1841354495
  NPD (past)
• Soha Alfares, MD

  • Internal Medicine Physician
  • Dearborn, MI
  • NPI 1922339977
  NPD (past)
• Ghattas Alkhoury, MD

  • Internal Medicine Physician
  • Dearborn, MI
  • NPI 1215347000
  NPD (past)
• Ahmed Hammad, MD

  • Emergency Medicine Physician
  • Garden City, MI
  • NPI 1558947101
  NPD (past)
• Rifat H Saad, DNP

  • Family Nurse Practitioner
  • Dearborn, MI
  • NPI 1134875388
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1679508170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 EASTLAND DR N # 2",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833018444",
            "telephone_number": "208-734-9531",
            "fax_number": "208-733-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 EASTLAND DR N # 2",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833018444",
            "telephone_number": "208-734-9531",
            "fax_number": "208-733-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE LAKES CHIROPRACTIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "ARRINGTON",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-734-9531",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "312142",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M8082987",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "C9974",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arlena Blick, RN
• Alexandria Malvina Blincoe, RN, BSN
• Bloom Therapy LLC
• Becky L Bloxham I, LSW
• Blue Lakes Anesthesia
• Blue Lakes Gastroenterology PLLC
• Blue Lakes Gastroenterology, PLLC
• Blue Lakes Medicine PA
• Bluebird Bio-Consulting, LLC
• Body & Mind Wellness LLC

• Chiropractor in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.