Organization Active NPI

McKim Chiropractic

  • Chiropractor
  • Nampa, ID
National Provider Identifier
1952530305
Registry record updated Nov 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-459 Issued in ID
Legal business name
MCKIM CHIROPRACTIC
Practice address
2023 12TH Ave Rd
Nampa, ID 83686-6311
Phone
(208) 467-5756
Fax
(208) 467-1368
NPI assigned
Jul 7, 2009
Last updated
Nov 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2009

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

Authorized official

Name
Keith McKim, D.C.
Title
Owner
Phone
(208) 467-5756

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIA-459 ID Primary

Addresses

Primary practice location

2023 12TH Ave Rd
Nampa, ID 83686-6311

Mailing address

2023 12TH Ave Rd
Nampa, ID 83686-6311
Phone (208) 467-5756

Other names 1

  • South Valley Chiropractic Other name

National Provider Directory

National Provider Directory

Locations

2023 12th Ave Rd
Nampa, ID 83686
Phone (208) 467-2046

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259020800000",
    "number": "1952530305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 12TH AVE RD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866311",
            "telephone_number": "208-467-5756",
            "fax_number": "208-467-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 12TH AVE RD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866311",
            "telephone_number": "208-467-5756",
            "fax_number": "208-467-1368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKIM CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-07",
        "last_updated": "2009-11-24",
        "status": "A",
        "authorized_official_last_name": "MCKIM",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-467-5756",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Valley Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; 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.