James Criddle Gardner, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-904 Issued in ID

Practice address

1220 E 17TH St
Idaho Falls, ID 83404-6147

Phone

(208) 529-1919

Fax

(208) 552-9447

NPI assigned

Jun 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Chiropractic

Education

Los Angeles College of Chiropractic, 1999

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grand Teton Chiropractic, P.C.

  • Chiropractor
  • Idaho Falls, ID
  • NPI 1679519193
  Medicare reassignment NPD Authorized official
• Grand Teton Chiropractic, PLLC

  • Chiropractor
  • Idaho Falls, ID
  • NPI 1891880779
  NPD (past) Authorized official

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1821036856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4317 AMBER LN",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834064640",
            "telephone_number": "208-529-1919",
            "fax_number": "208-552-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E 17TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046147",
            "telephone_number": "208-529-1919",
            "fax_number": "208-552-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "JAMES",
        "middle_name": "CRIDDLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George M Garcia, MD
• Kenisha Garcia, LMSW
• Aaron Howard Gardner, M.D.
• Andrea Beth Gardner, PA-C
• Bradley P Gardner, MD
• Lee S Gardner, P.A.-C
• Philip Edward Gardner, BS
• Erich W Garland, MD PA
• Janet Susan Garland, MSN, FNP, CANP
• Benjamin B Garner, DO

• 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 Jan 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.