Convergence Chiropractic Company

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CONVERGENCE CHIROPRACTIC COMPANY

Practice address

404 E Parkcenter Blvd Ste 170
Boise, ID 83706-7564

Phone

(505) 504-2174

NPI assigned

Jun 10, 2020

Organization subpart

No

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

Authorized official

Name

Dr. James Brant Barker, DC, MS

Title

Chiropractic Physician

Phone

(505) 504-2174

Specialties & licenses 1

Addresses

Other names 1

• Revolution Chiropractic Doing business as

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1962027433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 E PARKCENTER BLVD STE 170",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837067564",
            "telephone_number": "505-504-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 E PARKCENTER BLVD STE 170",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837067564",
            "telephone_number": "505-504-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVERGENCE CHIROPRACTIC COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "BARKER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BRANT",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "505-504-2174",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, MS"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revolution Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Continual Wellness LLC
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• Coby Contreras, PT, DPT
• Sherri Kay Contreras, CRNA
• Zoe Esperanza Contreras
• Mary Edith Conway, MS, CGC
• Jimi Lynn Coogan, RN
• Margaret Kay Cook-Shimanek, MD
• Amber Joy Cook, LMT
• Cameron Dean Cook, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.