Col323 PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

COL323 PLLC

Doing business as

Elite Chiropractic

Practice address

8475 N Government Way
103
Hayden, ID 83835-8670

Phone

(208) 722-5047

NPI assigned

Jan 27, 2017

Last updated

Jan 27, 2017By 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

Flynn Vick, DCNPI 1891139218

Title

Owner

Phone

(208) 772-5047

Specialties & licenses 1

Addresses

Other names 1

• Elite Chiropractic Doing business as

Locations

Practitioners 1

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.

• Flynn J Vick, DC

  • Chiropractor
  • Hayden, ID
  • NPI 1891139218
  NPD (past) Authorized official

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485475200000",
    "number": "1881131886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8475 N GOVERNMENT WAY",
            "address_2": "103",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358670",
            "telephone_number": "208-722-5047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8475 N GOVERNMENT WAY",
            "address_2": "103",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358670",
            "telephone_number": "208-722-5047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COL323 PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-27",
        "last_updated": "2017-01-27",
        "status": "A",
        "authorized_official_last_name": "VICK",
        "authorized_official_first_name": "FLYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-772-5047",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erica Lea Chvilicek, P.T.
• Erica N Clayton
• James D Clayton
• Clifford L Kiracofe PT PA
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• Rebecca Coleman
• Natalie M Colla, RD
• Haley Cooper-Scott, DPT, PT
• Michelle C Coppess
• Cornerstone Dental Center

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.