Active NPI
Jon McKay Harmon, DC
- Chiropractor
- Boise, ID
National Provider Identifier
1821082108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIA590
- Practice address
- 9161 W Black Eagle Dr
Boise, ID 83709-1572 - Phone
- (208) 321-1500
- Fax
- (208) 321-8687
- NPI assigned
- Sep 1, 2005
- 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 | CHIA590 | ID | Primary |
Addresses
Primary practice location
9161 W Black Eagle Dr
Boise, ID 83709-1572
Mailing address
9161 W Black Eagle Dr
Boise, ID 83709-1572
Phone (208) 321-1500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C9388 | Other | ID | BLUE CROSS OF IDAHO |
| CHIA590 | Other | ID | LICENSE # |
| 000010145823 | Other | ID | BLUE SHIELD OF IDAHO |
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 |
|---|---|---|---|
| CHIA590 | ID | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821082108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9161 W BLACK EAGLE DR",
"city": "BOISE",
"state": "ID",
"postal_code": "837091572",
"telephone_number": "208-321-1500",
"fax_number": "208-321-8687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9161 W BLACK EAGLE DR",
"city": "BOISE",
"state": "ID",
"postal_code": "837091572",
"telephone_number": "208-321-1500",
"fax_number": "208-321-8687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARMON",
"first_name": "JON",
"middle_name": "MCKAY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA590",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF IDAHO",
"identifier": "C9388",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "CHIA590",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF IDAHO",
"identifier": "000010145823",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}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 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.