Elevation Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-1451 Issued in ID

Legal business name

ELEVATION CHIROPRACTIC, LLC

Practice address

10451 W Garverdale CT Ste 204
Boise, ID 83704-5475

Phone

(208) 287-9393

Fax

(208) 287-9394

NPI assigned

Mar 29, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Brandon L Couchman, D.C.NPI 1518280890

Title

Doctor of Chiropractic/ Owner

Phone

(208) 287-9393

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandon Lee Couchman, D.C.

  • Chiropractor
  • Boise, ID
  • NPI 1518280890
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1750670824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10451 W GARVERDALE CT STE 204",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045475",
            "telephone_number": "208-287-9393",
            "fax_number": "208-287-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10451 W GARVERDALE CT STE 204",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045475",
            "telephone_number": "208-287-9393",
            "fax_number": "208-287-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATION CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "COUCHMAN",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC/ OWNER",
        "authorized_official_telephone_number": "208-287-9393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eleanor Health Professional TX, PLLC
• Elevate Community Services
• Elevate Community Services LLC
• Elevate Eye Care PLLC
• Elevate Health Group PLLC (Keystone Physical Medicine)
• Madison Elie, LCSW
• Jessica E Elkin, PA-C
• Elks Rehab
• Rachel Elledge, CPNP-PC
• Shirlene M Elledge, LMSW

• 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 May 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.