Active NPI
Daren Shishido, D.C.
- Chiropractor
- Nampa, ID
National Provider Identifier
1821463407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIA-1066
- Practice address
- 304 12TH Ave Rd
Nampa, ID 83686-5015 - Phone
- (208) 830-4481
- NPI assigned
- Dec 7, 2015
- Sex
- Male
- Sole proprietor
- No
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-1066 | ID | Primary |
Addresses
Primary practice location
304 12TH Ave Rd
Nampa, ID 83686-5015
Mailing address
14891 N Fitzwilliam St
Nampa, ID 83651-5081
Phone (208) 830-4481
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIA-1066 | ID | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449446400000",
"number": "1821463407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14891 N FITZWILLIAM ST",
"city": "NAMPA",
"state": "ID",
"postal_code": "836515081",
"telephone_number": "208-830-4481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 12TH AVE RD",
"city": "NAMPA",
"state": "ID",
"postal_code": "836865015",
"telephone_number": "208-830-4481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHISHIDO",
"first_name": "DAREN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-07",
"last_updated": "2015-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA-1066",
"primary": true
}
],
"identifiers": [],
"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 Dec 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.