NPIMap

Organization Active NPI

Hardison-Walz PC

Doing business as Mountain View Chiropractic

  • Chiropractor
  • Post Falls, ID
National Provider Identifier
1861682353
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA964 Issued in ID
Legal business name
HARDISON-WALZ PC
Doing business as
Mountain View Chiropractic
Practice address
1624 E Seltice Way
Post Falls, ID 83854-7022
Phone
(208) 777-0128
Fax
(208) 773-9600
NPI assigned
Jul 31, 2007
Last updated
Jul 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2010

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

Authorized official

Name
Dr. Michael D Hardison, DCNPI 1215091863
Title
Director
Phone
(208) 777-0128

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIA964 ID Primary

Addresses

Primary practice location

1624 E Seltice Way
Post Falls, ID 83854-7022

Mailing address

1624 E Seltice Way
Post Falls, ID 83854
Phone (208) 777-0128

Other identifiers 3

IdentifierTypeStateIssuer
000010156505OtherIDREGENCE BLUE SHIELD
C2532OtherIDBLUE CROSS OF IDAHO
807387600MedicaidID

Other names 1

  • Mountain View Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050516000887 ID Part B Supplier - Clinic/Group Practice 9032150420 Receives reassigned benefits from 2 practitioners
Practice locations: Post Falls, ID

National Provider Directory

National Provider Directory

Locations

1624 E Seltice Way
Post Falls, ID 83854
Phone (208) 777-0128

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279843200000",
    "number": "1861682353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 E SELTICE WAY",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "83854",
            "telephone_number": "208-777-0128",
            "fax_number": "208-773-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 E SELTICE WAY",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838547022",
            "telephone_number": "208-777-0128",
            "fax_number": "208-773-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARDISON-WALZ PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2010-07-23",
        "status": "A",
        "authorized_official_last_name": "HARDISON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "208-777-0128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "000010156505",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "C2532",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807387600",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain View Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Post Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; 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.