Individual provider Active NPI

Jon Charles Juker, DC

  • Chiropractor
  • Boise, ID
National Provider Identifier
1760261739
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-2372 Issued in ID
Practice address
1390 S Maple Grove Rd Unit 200
Boise, ID 83709-1610
Phone
(208) 986-0966
NPI assigned
Sep 27, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIA-2372 ID Primary

Addresses

Primary practice location

1390 S Maple Grove Rd Unit 200
Boise, ID 83709-1610

Mailing address

614 S Lawrence Ave
Boise, ID 83709-0827
Phone (208) 908-9758

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231107002841 ID Practitioner - Chiropractic 2466809801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1390 S Maple Grove Rd
Suite 200
Boise, ID 83709-1610
Phone (208) 986-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIA-2372IDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Juke Chiropractic PLLC Chiropractor CurrentSince Oct 16, 2023 Accepting new patients

Locations

1390 S Maple Grove Rd
Ste 200
Boise, ID 83709
Phone (208) 672-0100

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1760261739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 S LAWRENCE AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837090827",
            "telephone_number": "208-908-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 S MAPLE GROVE RD UNIT 200",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091610",
            "telephone_number": "208-986-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUKER",
        "first_name": "JON",
        "middle_name": "CHARLES",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-2372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.

Verify at the official NPI Registry.