Individual provider Active NPI

Tod Spainhower, D.C.

  • Chiropractor
  • Boise, ID
National Provider Identifier
1881642312
Registry record updated Feb 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA 586 Issued in ID
Practice address
9217 W State St
Boise, ID 83714-1737
Phone
(208) 853-7221
Fax
(208) 853-5518
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIA 586 ID Primary

Addresses

Primary practice location

9217 W State St
Boise, ID 83714-1737

Mailing address

9217 W State St
Boise, ID 83714-1737
Phone (208) 853-7221

Other identifiers 2

IdentifierTypeStateIssuer
000010019821OtherIDREGENCE BLUESHIELD OF ID
CHIA 586OtherIDIDAHO LICENSE

Other names 1

  • Dr. Jerry Tod Spainhower Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100517000853 ID Practitioner - Chiropractic 0547398208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9217 W State St
Boise, ID 83714-1737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIA 586IDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Boise Chiropractic Inc Chiropractor CurrentSince Mar 8, 2010 Accepting new patients

Locations

9217 W State St
Garden City, ID 83714
Phone (208) 249-2607

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392940800000",
    "number": "1881642312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9217 W STATE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837141737",
            "telephone_number": "208-853-7221",
            "fax_number": "208-853-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9217 W STATE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837141737",
            "telephone_number": "208-853-7221",
            "fax_number": "208-853-5518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAINHOWER",
        "first_name": "TOD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2014-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA 586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUESHIELD OF ID",
            "identifier": "000010019821",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO LICENSE",
            "identifier": "CHIA 586",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERRY",
            "last_name": "SPAINHOWER",
            "middle_name": "TOD",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 21, 2014; 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.