Long Legacy Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

LONG LEGACY CHIROPRACTIC

Practice address

1096 Eastland Dr N Ste 300
Twin Falls, ID 83301-8970

Phone

(208) 537-7246

NPI assigned

Aug 6, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Ty Benjamin Long, DC

Title

Chiropractor

Phone

(208) 537-7246

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyler Richard Long, DC

  • Chiropractor
  • Twin Falls, ID
  • NPI 1740821081
  NPD
• Tyson Benjamin Long, DC

  • Chiropractor
  • Twin Falls, ID
  • NPI 1275095101
  NPD

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565049600000",
    "number": "1821643966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1096 EASTLAND DR N STE 300",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833018970",
            "telephone_number": "208-537-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1096 EASTLAND DR N STE 300",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833018970",
            "telephone_number": "208-537-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG LEGACY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-06",
        "last_updated": "2019-08-06",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "TY",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "208-537-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mya Llamas
• Jay C Lloyd, MS
• Lmno Speech & Language Therapy Services
• Robert S Lobb, M.D.
• Kristina Marie Loder, LCSW
• Erik Long, M.D.
• Tyler Richard Long, DC
• Tyson Benjamin Long, DC
• Daniela Lopez Berazain
• Robin M Lopez, LSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.