Vista Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

602 Issued in ID

Legal business name

VISTA CHIROPRACTIC

Practice address

1805 Overland
Boise, ID 83705-3143

Phone

(208) 336-4040

NPI assigned

Oct 16, 2007

Last updated

Dec 18, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian D Schuler, DC

Title

Owner

Phone

(208) 336-4040

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1760671747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837053143",
            "telephone_number": "208-336-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 OVERLAND",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837053143",
            "telephone_number": "208-336-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "SCHULER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-336-4040",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.