Individual provider Active NPI

Craig J Manning, DC

  • Chiropractor
  • Twin Falls, ID
National Provider Identifier
1881626018
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA939 Issued in ID
Practice address
2167 Village Park Ave
Ste 100
Twin Falls, ID 83301-4174
Phone
(208) 737-1430
Fax
(208) 737-4225
NPI assigned
Jul 7, 2006
Last updated
Jun 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIA939 ID Primary

Addresses

Primary practice location

2167 Village Park Ave
Ste 100
Twin Falls, ID 83301-4174

Mailing address

2167 Village Park Ave
Ste 100
Twin Falls, ID 83301-4174
Phone (208) 737-1430

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050916000967 ID Practitioner - Chiropractic 8921031170 Practice locations: Twin Falls, ID

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2167 Village Park Ave
Suite 100
Twin Falls, ID 83301-4174
Phone (208) 737-1430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIA939IDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Canyon Springs Chiropractic Wellness Center PLLC Chiropractor PastSince Jul 28, 2025 Accepting new patients
Sunrise Ridge PC Chiropractor Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1881626018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2167 VILLAGE PARK AVE",
            "address_2": "STE 100",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014174",
            "telephone_number": "208-737-1430",
            "fax_number": "208-737-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2167 VILLAGE PARK AVE",
            "address_2": "STE 100",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014174",
            "telephone_number": "208-737-1430",
            "fax_number": "208-737-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "CRAIG",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.