Lifestyles Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-625 Issued in ID

Legal business name

LIFESTYLES CHIROPRACTIC

Practice address

1159 E Iron Eagle Dr
Ste. 100
Eagle, ID 83616-6871

Phone

(208) 322-3606

Fax

(208) 327-2109

NPI assigned

Feb 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Janet Sermon, DC

Title

Owner

Phone

(208) 322-3606

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203292800000",
    "number": "1922276492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1159 E IRON EAGLE DR",
            "address_2": "STE. 100",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166871",
            "telephone_number": "208-322-3606",
            "fax_number": "208-327-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 E IRON EAGLE DR",
            "address_2": "STE. 100",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166871",
            "telephone_number": "208-322-3606",
            "fax_number": "208-327-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLES CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-18",
        "last_updated": "2008-02-18",
        "status": "A",
        "authorized_official_last_name": "SERMON",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-322-3606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; 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.