NPIMap

Organization Active NPI

Ifcc PLLC

  • Chiropractor
  • Idaho Falls, ID
National Provider Identifier
1881600625
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
C-715 Issued in ID
Legal business name
IFCC PLLC
Practice address
1880 E 17TH St
Idaho Falls, ID 83404-6468
Phone
(208) 523-0121
Fax
(208) 529-0001
NPI assigned
Aug 1, 2006
Last updated
Aug 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2010

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

Authorized official

Name
Dr. Eric C. Adams, D.C.NPI 1699717835
Title
Chiropractic Physician
Phone
(208) 523-0121

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X ID
Chiropractor 111N00000X C-715 ID Primary

Addresses

Primary practice location

1880 E 17TH St
Idaho Falls, ID 83404-6468

Mailing address

1880 E 17TH St
Idaho Falls, ID 83404-6468
Phone (208) 523-0121

Other names 1

  • Idaho Falls Chiropractic Clinic, P.L.L.C. Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040525001511 ID Part B Supplier - Clinic/Group Practice 8123009214 Receives reassigned benefits from 4 practitioners
Practice locations: Idaho Falls, ID

National Provider Directory

National Provider Directory

Locations

1880 E 17th St
Idaho Falls, ID 83404
Phone (208) 206-0237

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282003200000",
    "number": "1881600625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 E 17TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046468",
            "telephone_number": "208-523-0121",
            "fax_number": "208-529-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 E 17TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046468",
            "telephone_number": "208-523-0121",
            "fax_number": "208-529-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IFCC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2010-08-17",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "208-523-0121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "C-715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Idaho Falls Chiropractic Clinic, P.L.L.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.