Organization Active NPI

Tedra Burke-Searls Chiropractic Professional Corporation

  • Chiropractor
  • Idaho Falls, ID
National Provider Identifier
1932768967
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
TEDRA BURKE-SEARLS CHIROPRACTIC PROFESSIONAL CORPORATION
Practice address
1348 E 17TH St
Idaho Falls, ID 83404-6270
Phone
(208) 715-6366
Fax
(208) 715-6111
NPI assigned
Jun 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Authorized official

Name
Dr. Tedra Burke-Searls, DC
Title
President
Phone
(208) 715-6366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1348 E 17TH St
Idaho Falls, ID 83404-6270

Mailing address

1348 E 17TH St
Idaho Falls, ID 83404-6270
Phone (208) 715-6366

National Provider Directory

National Provider Directory

Locations

1348 E 17th St
Idaho Falls, ID 83404
Phone (208) 542-6564

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1932768967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1348 E 17TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046270",
            "telephone_number": "208-715-6366",
            "fax_number": "208-715-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 E 17TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046270",
            "telephone_number": "208-715-6366",
            "fax_number": "208-715-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEDRA BURKE-SEARLS CHIROPRACTIC PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "BURKE-SEARLS",
        "authorized_official_first_name": "TEDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-715-6366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 17, 2019; 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.