Timothy John Root, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA1032 Issued in ID

Practice address

14495 W Battenberg Dr
Boise, ID 83713-0948

Phone

(208) 761-5777

NPI assigned

Sep 24, 2012

Last updated

Sep 24, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• John Hickey PC

  • Chiropractor
  • Boise, ID
  • NPI 1114536794
  NPD (past)

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1679824114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 N 30TH ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837035917",
            "telephone_number": "208-761-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14495 W BATTENBERG DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837130948",
            "telephone_number": "208-761-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOT",
        "first_name": "TIMOTHY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-24",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA1032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Arvilla Roop, MD
• Roger G Roos, MD
• Theodore Steven Roosevelt, M.D.
• Laura E Root, LCSW
• Rachel Anne Root, PHD
• Rooted Recovery and Wellness, LLC
• Rooted Resilience Wellness PLLC
• Roots Ecotherapy LLC
• Roots Support Services
• J Clayton Roscoe, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; 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.