NPIMap

Organization Active NPI

Eagle Cramer Chiropractic, P.a.

  • Chiropractor
  • Eagle, ID
National Provider Identifier
1679642888
Registry record updated Oct 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA773 Issued in ID
Legal business name
EAGLE CRAMER CHIROPRACTIC, P.A.
Practice address
1580 E State St
Suite 104
Eagle, ID 83616-6853
Phone
(208) 939-3737
Fax
(208) 939-2538
NPI assigned
Nov 6, 2006
Last updated
Oct 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2014

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

Authorized official

Name
Dr. Todd R. Cramer, D.C.
Title
President
Phone
(208) 939-3737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIA773 ID Primary

Addresses

Primary practice location

1580 E State St
Suite 104
Eagle, ID 83616-6853

Mailing address

1580 E State St
Suite 104
Eagle, ID 83616-6853
Phone (208) 939-3737

National Provider Directory

National Provider Directory

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": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413417600000",
    "number": "1679642888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 E STATE ST",
            "address_2": "SUITE 104",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166853",
            "telephone_number": "208-939-3737",
            "fax_number": "208-939-2538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 E STATE ST",
            "address_2": "SUITE 104",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166853",
            "telephone_number": "208-939-3737",
            "fax_number": "208-939-2538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE CRAMER CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2014-10-16",
        "status": "A",
        "authorized_official_last_name": "CRAMER",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-939-3737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; 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.