NPIMap

Organization Active NPI

Country Chiropractic Inc.

  • Chiropractor
  • Pocatello, ID
National Provider Identifier
1962529149
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA779 Issued in ID
Legal business name
COUNTRY CHIROPRACTIC INC.
Practice address
178 E Quinn Rd
Pocatello, ID 83201-3502
Phone
(208) 237-4223
Fax
(208) 237-2011
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Cary Krusoff, D.C.NPI 1699892026
Title
President
Phone
(208) 237-4223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIA779 ID Primary

Addresses

Primary practice location

178 E Quinn Rd
Pocatello, ID 83201-3502

Mailing address

178 E Quinn Rd
Pocatello, ID 83201-3502
Phone (208) 237-4223

National Provider Directory

National Provider Directory

Locations

178 E Quinn Rd
Pocatello, ID 83201
Phone (208) 237-4223

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": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962529149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 E QUINN RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013502",
            "telephone_number": "208-237-4223",
            "fax_number": "208-237-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 E QUINN RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013502",
            "telephone_number": "208-237-4223",
            "fax_number": "208-237-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRUSOFF",
        "authorized_official_first_name": "CARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-237-4223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.