Community Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

COMMUNITY CHIROPRACTIC LLC

Practice address

640 Frogs LNDG
Hagerman, ID 83332-5034

Phone

(208) 731-6241

NPI assigned

Aug 15, 2024

Organization subpart

No

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

Authorized official

Name

Jaime Garvin

Title

Member

Phone

(208) 731-6241

Specialties & licenses 1

Addresses

Practitioners 1

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

• Joshua Boone Olsen, DC

  • Chiropractor
  • Burley, ID
  • NPI 1962599472
  NPD

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1821820028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 403",
            "city": "HAGERMAN",
            "state": "ID",
            "postal_code": "833320403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 FROGS LNDG",
            "city": "HAGERMAN",
            "state": "ID",
            "postal_code": "833325034",
            "telephone_number": "208-731-6241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "GARVIN",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "208-731-6241"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Cassandra Alvarado
• Michelle Angelique Colleran Bullock, REGISTERED NURSE
• Genevieve Christine Fager, BI
• Gooding Pharmacy Inc
• Hagerman Joint School District No. 233
• Robert Jay Miller
• Jonathan Musick

• Chiropractor in Hagerman, ID
• Providers in Hagerman, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.