Evans Chiropractic, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-1178 Issued in ID

Legal business name

EVANS CHIROPRACTIC, PA

Practice address

190 W Burnside
D
Chubbuck, ID 83202

Phone

(208) 238-0600

Fax

(208) 238-0603

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Nathan Evans, DCNPI 1861436727

Title

Owner Doctor

Phone

(208) 238-0600

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.

• Nathan Evans, D.C.

  • Chiropractor
  • Chubbuck, ID
  • NPI 1861436727
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760413256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 FLANDRO DRIVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832021947",
            "telephone_number": "208-238-0600",
            "fax_number": "208-238-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 W BURNSIDE",
            "address_2": "D",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "83202",
            "telephone_number": "208-238-0600",
            "fax_number": "208-238-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS CHIROPRACTIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "208-238-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Care Chiropractic
• Cassidy Ellsworth, MS
• Emeritus Corporation
• Joyce E Engel, LPC
• Courtney Escalona, RDN
• Nathan Evans, D.C.
• Eyemart Express LLC
• Family Counseling Services
• Family First Health Centers Inc
• Myshella Farnsworth, PARAPROFESSIONAL

• Chiropractor in Chubbuck, ID
• Providers in Chubbuck, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.