Joel Theodore Jaureguito, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

CHIA-1263 Issued in ID

Practice address

1352 Troy Rd
Moscow, ID 83843-3995

Phone

(208) 882-1100

NPI assigned

Mar 25, 2009

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 25, 2009.

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237939200000",
    "number": "1750523536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1352 TROY RD",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838433995",
            "telephone_number": "208-882-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1352 TROY RD",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838433995",
            "telephone_number": "208-882-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAUREGUITO",
        "first_name": "JOEL",
        "middle_name": "THEODORE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-25",
        "last_updated": "2009-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "22726",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NV",
            "license": "B553",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "ID",
            "license": "CHIA-1263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynley R James, NP-C
• Whitney Marie James
• Nelson Jamir
• Patrick Joseph Jamsa
• Emily Jardine
• Aubrie Jeansonne
• Tiarra Jeff
• Tucker Jeppson, DO
• John a Werner PLLC
• Benjamin Henning Johnson

• All providers in Moscow, ID
• Sports Physician Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; 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.