Organization Active NPI

Herrin Chiropractic LLC

Doing business as Treasure Valley Chiropractic Spine Management

  • Chiropractor
  • Caldwell, ID
National Provider Identifier
1760068589
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HERRIN CHIROPRACTIC LLC
Doing business as
Treasure Valley Chiropractic Spine Management
Practice address
1016 E Chicago St Ste 105
Caldwell, ID 83605-5532
Phone
(208) 453-6311
Fax
(208) 917-9007
NPI assigned
Mar 22, 2021
Last updated
Jul 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Authorized official

Name
David Charles Herrin, D.C.NPI 1134336845
Title
Owner
Phone
(541) 647-3246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1016 E Chicago St Ste 105
Caldwell, ID 83605-5532

Mailing address

25 14TH Ave S
Nampa, ID 83651-4394
Phone (208) 461-4764

Other names 1

  • Treasure Valley Chiropractic Spine Management Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210428000347 ID Part B Supplier - Clinic/Group Practice 8628486867 Receives reassigned benefits from 1 practitioner
Practice locations: Caldwell, ID

National Provider Directory

National Provider Directory

Locations

25 14th Ave S
Nampa, ID 83651
Phone (208) 465-1890

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1760068589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 14TH AVE S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836514394",
            "telephone_number": "208-461-4764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 E CHICAGO ST STE 105",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836055532",
            "telephone_number": "208-453-6311",
            "fax_number": "208-917-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERRIN CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-22",
        "last_updated": "2022-07-12",
        "certification_date": "2021-12-20",
        "status": "A",
        "authorized_official_last_name": "HERRIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-647-3246",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Treasure Valley Chiropractic Spine Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Caldwell, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.