NPIMap

Organization Active NPI

Fletcher Chiropractic PLLC

Doing business as Fletcher Chiropractic Center

  • Chiropractor
  • Boise, ID
National Provider Identifier
1780899054
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
877 Issued in ID
Legal business name
FLETCHER CHIROPRACTIC PLLC
Doing business as
Fletcher Chiropractic Center
Practice address
5246 N Eagle Rd
Boise, ID 83713-0945
Phone
(208) 939-3000
Fax
(208) 939-3030
NPI assigned
May 11, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Scott David Fletcher, DCNPI 1265566855
Title
Owner
Phone
(208) 939-3000

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 877 ID Primary

Addresses

Primary practice location

5246 N Eagle Rd
Boise, ID 83713-0945

Mailing address

5246 N Eagle Rd
Boise, ID 83713
Phone (208) 939-3000

Other identifiers 2

IdentifierTypeStateIssuer
C9362OtherIDBLUE CROSS
000010028569OtherIDREGENCE BLUE SHIELD

Other names 1

  • Fletcher Chiropractic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110926000424 ID Part B Supplier - Clinic/Group Practice 1557532413 Receives reassigned benefits from 2 practitioners
Practice locations: Boise, ID

National Provider Directory

National Provider Directory

Locations

5246 N Eagle Rd
Boise, ID 83713
Phone (208) 939-3000

3210 E Chinden Blvd
Ste 106
Eagle, ID 83616
Phone (208) 939-3000

Practitioners & affiliated clinicians

Practitioners 6

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": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1780899054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5246 N EAGLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83713",
            "telephone_number": "208-939-3000",
            "fax_number": "208-939-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5246 N EAGLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837130945",
            "telephone_number": "208-939-3000",
            "fax_number": "208-939-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLETCHER CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-939-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "C9362",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "000010028569",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fletcher Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 21, 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.