Staker Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA706 Issued in ID

Legal business name

STAKER CHIROPRACTIC PC

Practice address

976 John Adams Pkwy
Idaho Falls, ID 83401-4049

Phone

(208) 522-5546

Fax

(208) 522-4777

NPI assigned

Feb 23, 2010

Last updated

Feb 23, 2010By 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

Dr. Gerald D Staker, D.C.NPI 1891884276

Title

President

Phone

(208) 522-5546

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Gerald D Staker, D.C.

  • Chiropractor
  • Idaho Falls, ID
  • NPI 1891884276
  Authorized official Same address or phone
• Eric Phillip Sayer, D.C.

  • Chiropractor
  • Idaho Falls, ID
  • NPI 1649314477
  NPD (past)

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266883200000",
    "number": "1801118427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "976 JOHN ADAMS PKWY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014049",
            "telephone_number": "208-522-5546",
            "fax_number": "208-522-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "976 JOHN ADAMS PKWY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014049",
            "telephone_number": "208-522-5546",
            "fax_number": "208-522-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAKER CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-23",
        "last_updated": "2010-02-23",
        "status": "A",
        "authorized_official_last_name": "STAKER",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-522-5546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002776700",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bailey Adelaide Spratling, LMSW
• Sherie Helen Squires, RD LD
• Chaheyla St Aubin, DO
• Sherri Stacey
• Robert Stahn, LCPC
• Gerald D Staker, D.C.
• Galen J. Staley, DDS
• Marilyn Standfield
• Camry Stanford
• Paul Allen Stanford, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.