Edwards Chiropractic Office, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

C402 Issued in ID

Legal business name

EDWARDS CHIROPRACTIC OFFICE, P.C.

Practice address

3904 E Flamingo Ave
Nampa, ID 83687-3102

Phone

(208) 467-7600

Fax

(208) 467-7623

NPI assigned

Nov 22, 2010

Last updated

Nov 22, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul Robert Edwards, D.C.

Title

President

Phone

(208) 467-7600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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.

• Rick A Heikkila, LCSW

  • Clinical Social Worker
  • Nampa, ID
  • NPI 1891734695
  NPD (past)
• Heidi Murillo-Diaz, MSW

  • Social Worker
  • Nampa, ID
  • NPI 1700376662
  NPD (past)
• Hilary Raptosh, LCPC

  • Mental Health Counselor
  • Nampa, ID
  • NPI 1356820260
  NPD (past)

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1710289913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3904 E FLAMINGO AVE",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836873102",
            "telephone_number": "208-467-7600",
            "fax_number": "208-467-7623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3904 E FLAMINGO AVE",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836873102",
            "telephone_number": "208-467-7600",
            "fax_number": "208-467-7623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARDS CHIROPRACTIC OFFICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-22",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-467-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "C402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1952426520",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chantel Brook Eckland Johnson, DMD
• Sarah Hassell Eddy, PT, DPT
• Edgewater Dental
• Jeffery Edmiston, M.S., LCPC
• Jill T Edmundson
• Kathy Edwards, J.D. M.S. ABD PH.D.
• Melody Ann Edwards, P.T.
• Steen Edwards, D.P.T.
• Daniel Egbert, D.M.D.
• Ryan Eggli

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.