Eastgate Chiropractic Incorporated

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-1051 Issued in ID

Legal business name

EASTGATE CHIROPRACTIC INCORPORATED

Practice address

1132 Burrell Ave
Lewiston, ID 83501-7101

Phone

(208) 743-0231

Fax

(208) 746-7462

NPI assigned

Mar 16, 2012

Organization subpart

No

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

Authorized official

Name

Julie A Moore-Fisher, D.C.NPI 1457424152

Title

President

Phone

(208) 743-0231

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 2

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

• Julie Moore-Fisher, D.C.

  • Chiropractor
  • Lewiston, ID
  • NPI 1457424152
  Medicare reassignment Care Compare group NPD Authorized official
• Joseph Hall, D.C.

  • Chiropractor
  • Idaho Falls, ID
  • NPI 1427136548
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1331856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1942575477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 BURRELL AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835017101",
            "telephone_number": "208-743-0231",
            "fax_number": "208-746-7462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 BURRELL AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835017101",
            "telephone_number": "208-743-0231",
            "fax_number": "208-746-7462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTGATE CHIROPRACTIC INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-16",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "MOORE-FISHER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-743-0231",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn M Duman, LSW
• Nicole M Dwyer, PA
• Timothy J. Dykstra, DO
• Dynamic Physical Therapy PLLC
• Eagle Healthcare Inc
• Cort Eckert, RN
• Christina Edmonson, LCSW
• Madison Ashley Edwards, PHARMD
• Melanie T Eggleston, MD
• Janna Michelle Eide Toth, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; 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.