Active NPI
Damon Josef Popovics, DC
- Chiropractor
- Orofino, ID
National Provider Identifier
1710996533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 28525
- Practice address
- 830 Michigan Ave
Orofino, ID 83544-7005 - Phone
- (208) 476-7091
- Fax
- (866) 993-2828
- NPI assigned
- Aug 8, 2006
- Last updated
- Mar 27, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIA1515 | ID | |
| Chiropractor | 111N00000X | 28525 | CA | Primary |
Addresses
Primary practice location
830 Michigan Ave
Orofino, ID 83544-7005
Mailing address
830 Michigan Ave
Orofino, ID 83544-7005
Phone (208) 476-7091
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
- New York Chiropractic College, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
830 Michigan Ave
Orofino, ID 83544-7005
Phone (208) 476-7091
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIA1515 | ID | MD | Chiropractor |
| 5703 | AZ | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Popovics Chiropractic, Inc | Chiropractor | Past | Accepting new patients |
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.
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Joseph Regional Medical Center
- General Acute Care Hospital
- Lewiston, ID
- NPI 1225090954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553644800000",
"number": "1710996533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 MICHIGAN AVE",
"city": "OROFINO",
"state": "ID",
"postal_code": "835447005",
"telephone_number": "208-476-7091",
"fax_number": "866-993-2828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 MICHIGAN AVE",
"city": "OROFINO",
"state": "ID",
"postal_code": "835447005",
"telephone_number": "208-476-7091",
"fax_number": "866-993-2828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPOVICS",
"first_name": "DAMON",
"middle_name": "JOSEF",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2019-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA1515",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "28525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orofino, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.