Active NPI
F. Blake Ambridge, DC.,DACNB
- Neurology Chiropractor
- Sandpoint, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- 19037
- Practice address
- 1327 W Superior St Ste 103
Sandpoint, ID 83864-2742 - Phone
- (208) 946-5888
- Fax
- (208) 920-6004
- NPI assigned
- May 15, 2006
- Last updated
- May 19, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | CHIA-1724 | ID | |
| Neurology Chiropractor | 111NN0400X | CH61009706 | WA | |
| Neurology Chiropractor | 111NN0400X | 19037 | CA | Primary |
Addresses
Primary practice location
1327 W Superior St Ste 103
Sandpoint, ID 83864-2742
Mailing address
1327 W Superior St Ste 103
Sandpoint, ID 83864-2742
Phone (208) 946-5888
Other practice location 1
1113 E Westview Ct
Spokane, WA 99218-1319
Phone (208) 946-5888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1987
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1327 W Superior St
Suite 103
Sandpoint, ID 83864-2742
Phone (208) 946-5888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIA-1724 | ID | MD | Neurology Chiropractor |
| CH61009706 | WA | MD | Neurology Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ambridge Chiropractic Neurology PC | Current | Accepting new patients | |
| True North Wellness Center | Current | Accepting new patients |
Locations
1327 W Superior St
Ste 103
Sandpoint, ID 83864
Phone (208) 946-5888
Organizations & group practices 2
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.
-
dba North Idaho Chiropractic Neurology Center
- Chiropractor
- Sandpoint, ID
- NPI 1194341818
-
- Naturopath
- Sandpoint, ID
- NPI 1841883741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589846400000",
"number": "1699726398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1327 W SUPERIOR ST STE 103",
"city": "SANDPOINT",
"state": "ID",
"postal_code": "838642742",
"telephone_number": "208-946-5888",
"fax_number": "208-920-6004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1327 W SUPERIOR ST STE 103",
"city": "SANDPOINT",
"state": "ID",
"postal_code": "838642742",
"telephone_number": "208-946-5888",
"fax_number": "208-920-6004"
}
],
"practiceLocations": [
{
"address_1": "1113 E Westview Ct",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992181319",
"country_code": "US",
"telephone_number": "208-946-5888",
"fax_number": "208-920-6004",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMBRIDGE",
"first_name": "F.",
"middle_name": "BLAKE",
"name_prefix": "Dr.",
"credential": "DC.,DACNB",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2020-05-19",
"certification_date": "2020-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "ID",
"license": "CHIA-1724",
"primary": false
},
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "WA",
"license": "CH61009706",
"primary": false
},
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "CA",
"license": "19037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandpoint, ID
- Alternative Community Enrichment Services
- Alternative Community Enrichment Services
- Chandelle Renee Alverson, PHARM.D.
- Ambridge Chiropractic Neurology PC (North Idaho Chiropractic Neurology Center)
- Amy Kathleen Ambridge, AMFT
- American Oncology Partners, P.a. (Summit Cancer Centers)
- Ampersand Empire LLC (Momentum Medical Massage and Personal Training)
- Julie Anderson Dennis
- Michelle Marie Anderson, NP
- Steven E Anderson, DDS, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.