NPIMap

Organization Active NPI

JMR Inc

  • Chiropractor
  • Boise, ID
National Provider Identifier
1871784447
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA968 Issued in ID
Legal business name
JMR INC
Practice address
2031 E Hospitality LN Ste 150
Boise, ID 83716-6603
Phone
(208) 336-2225
Fax
(208) 336-7757
NPI assigned
Aug 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Authorized official

Name
Dr. Jamie M Ricks, DCNPI 1053379610
Title
Owner / Doctor
Phone
(208) 336-2225

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIA968 ID Primary

Addresses

Primary practice location

2031 E Hospitality LN Ste 150
Boise, ID 83716-6603

Mailing address

2031 E Hospitality LN Ste 150
Boise, ID 83716-6603
Phone (208) 336-2225

Other names 1

  • Advantage Walk-In Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040827000476 ID Part B Supplier - Clinic/Group Practice 1658346242 Receives reassigned benefits from 4 practitioners
Practice locations: Boise, ID

National Provider Directory

National Provider Directory

Locations

2031 E Hospitality Ln
#150
Boise, ID 83716
Phone (208) 336-2225

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1871784447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 E HOSPITALITY LN STE 150",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837166603",
            "telephone_number": "208-336-2225",
            "fax_number": "208-336-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 E HOSPITALITY LN STE 150",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837166603",
            "telephone_number": "208-336-2225",
            "fax_number": "208-336-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "RICKS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER / DOCTOR",
        "authorized_official_telephone_number": "208-336-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advantage Walk-In Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.