NPIMap

Organization Active NPI

East Ridge Chiropractic

  • Chiropractor
  • Ammon, ID
National Provider Identifier
1780290981
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
EAST RIDGE CHIROPRACTIC
Practice address
1320 S Ammon Rd
Ammon, ID 83406-5810
Phone
(509) 551-5365
NPI assigned
Sep 22, 2020
Last updated
Dec 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Authorized official

Name
Dr. Lucas D Watson, DCNPI 1790223337
Title
Owner
Phone
(509) 551-5365

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1320 S Ammon Rd
Ammon, ID 83406-5810

Mailing address

1320 S Ammon Rd
Ammon, ID 83406-5810
Phone (509) 551-5365

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL eastridgechiro1@gmail.com Direct

National Provider Directory

National Provider Directory

Locations

1320 S Ammon Rd
Ammon, ID 83406
Phone (208) 360-6770

Practitioners & affiliated clinicians

Practitioners 2

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": "1600732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1780290981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 S AMMON RD",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834065810",
            "telephone_number": "509-551-5365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 S AMMON RD",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834065810",
            "telephone_number": "509-551-5365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST RIDGE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-12-01",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-551-5365",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "eastridgechiro1@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Office location",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1320 S Ammon Rd",
            "city": "Ammon",
            "state": "ID",
            "country_code": "US",
            "postal_code": "834065810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ammon, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.