Active NPI
Jason Samuel Adams, D.C.
- Chiropractor
- Nampa, ID
National Provider Identifier
1811055064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIA-1024
- Practice address
- 7367 E Canterbury LN
Nampa, ID 83687-8389 - Phone
- (208) 442-6351
- NPI assigned
- Dec 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIA-1024 | ID | Primary |
Addresses
Primary practice location
7367 E Canterbury LN
Nampa, ID 83687-8389
Mailing address
7367 E Canterbury LN
Nampa, ID 83687-8389
Phone (208) 442-6351
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010142851 | Other | ID | BLUE SHIELD |
| 670357 | Other | ID | UNITED HEALTH |
| C4686 | Other | ID | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIA-1024 | ID | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811055064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7367 E CANTERBURY LN",
"city": "NAMPA",
"state": "ID",
"postal_code": "836878389",
"telephone_number": "208-442-6351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7367 E CANTERBURY LN",
"city": "NAMPA",
"state": "ID",
"postal_code": "836878389",
"telephone_number": "208-442-6351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "JASON",
"middle_name": "SAMUEL",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA-1024",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "000010142851",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH",
"identifier": "670357",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "C4686",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.