Bowman Chiropractic Wellness Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BOWMAN CHIROPRACTIC WELLNESS CENTER LLC

Practice address

138 W Cameron Ave
Kellogg, ID 83837-2305

Phone

(208) 783-1818

Fax

(208) 783-1818

NPI assigned

Jul 30, 2021

Last updated

Jun 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jared Eric Bowman, DCNPI 1477807287

Title

Owner/Provider

Phone

(208) 783-1818

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jared E Bowman, D.C.

  • Chiropractor
  • Kellogg, ID
  • NPI 1477807287
  Medicare reassignment NPD Authorized official
• Joshua Seth Bowman, DC

  • Chiropractor
  • Montpelier, ID
  • NPI 1265292924
  NPD

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1861165284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 W CAMERON AVE",
            "city": "KELLOGG",
            "state": "ID",
            "postal_code": "838372305",
            "telephone_number": "208-783-1818",
            "fax_number": "208-783-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 W CAMERON AVE",
            "city": "KELLOGG",
            "state": "ID",
            "postal_code": "838372305",
            "telephone_number": "208-783-1818",
            "fax_number": "208-783-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWMAN CHIROPRACTIC WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "208-783-1818",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hillary Anne Berry, DMD
• Jared E Bowman, D.C.
• Heather Lee Branstetter, LPC
• Teirza D Bristow, ARNP
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• Benjamin Luke Byrd, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.