Kurt Slonaker, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-1643 Issued in ID

Practice address

1558 N Crestmont Dr Ste C
Meridian, ID 83642-2194

Phone

(208) 572-2100

Fax

(208) 505-1742

NPI assigned

Jan 20, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Slonaker Enterprises LLCGroup PAC ID 9436495223, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Slonaker Enterprises, LLC

  dba Healthsource of Meridian

  • Chiropractor
  • Meridian, ID
  • NPI 1891270229
  Medicare reassignment Care Compare group NPD Authorized official
• Pickman Chiropractic

  dba Gonstead Spine and Wellness

  • Chiropractor
  • Meridian, ID
  • NPI 1982147443
  NPD (past)

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1881083400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 N GLAMORGAN AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836424281",
            "telephone_number": "208-572-2100",
            "fax_number": "208-505-1742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1558 N CRESTMONT DR STE C",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422194",
            "telephone_number": "208-572-2100",
            "fax_number": "208-505-1742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3329 W Cherry Ln",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836421119",
            "country_code": "US",
            "telephone_number": "509-293-1703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLONAKER",
        "first_name": "KURT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-20",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881083400",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hsmeridianid@healthsourcechiro.com",
            "affiliation": "N",
            "endpointDescription": "Office E-mail address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1558 N Crestmont Dr Ste C",
            "city": "Meridian",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836422194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David J Slagowski, O.D.
• Sleep Better Idaho LLC
• Allison N Slezak, PHARM.D
• SLH Hti West Manager, LLC (Copper Springs Senior Living)
• Slonaker Enterprises, LLC (Healthsource of Meridian)
• Small Talk Speech & Language Services (Small Talk Pediatric Therapy)
• Katherine Smalley, PA-C
• Adam Joseph Smart
• Carly D Smart, LMSW
• Ginger J Smart

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.