The Gardens Chiropractic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

CHIA-1540 Issued in ID

Legal business name

THE GARDENS CHIROPRACTIC

Practice address

2007 N Whitley Dr
Fruitland, ID 83619-2132

Phone

(208) 695-0098

NPI assigned

Jan 21, 2015

Last updated

Jan 21, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tyson Wlilian Devereux, D.C.

Title

Chiropractor

Phone

(208) 608-8283

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1962891432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 N WHITLEY DR",
            "city": "FRUITLAND",
            "state": "ID",
            "postal_code": "836192132",
            "telephone_number": "208-608-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 N WHITLEY DR",
            "city": "FRUITLAND",
            "state": "ID",
            "postal_code": "836192132",
            "telephone_number": "208-695-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GARDENS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-21",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "DEVEREUX",
        "authorized_official_first_name": "TYSON",
        "authorized_official_middle_name": "WLILIAN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "208-608-8283",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "ID",
            "license": "CHIA-1540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Lukes Regional Medical Center (St Lukes Retail Pharmacy Fruitland)
• St Lukes Regional Medical Center (St Lukes Cancer Institute - Fruitland)
• Cody D. Stephens, M.P.T.
• Brady Lynn Stewart, DPM
• Timmothy Stewart
• Therapy Connection
• Carl R Thornfeldt, MD
• Bryant Adams Timmons, DDS
• J. Alan Timmons, D.D.S.
• Olivia Toll

• Clinic/Center in Fruitland, ID
• Providers in Fruitland, ID by specialty
• Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.