NPIMap

Organization Active NPI

Pickman Chiropractic

Doing business as Gonstead Spine and Wellness

  • Chiropractor
  • Meridian, ID
National Provider Identifier
1982147443
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-1742 Issued in ID
Legal business name
PICKMAN CHIROPRACTIC
Doing business as
Gonstead Spine and Wellness
Practice address
3085 E Magic View Dr Ste 180
Meridian, ID 83642-3757
Phone
(208) 888-6077
Fax
(888) 447-1415
NPI assigned
Nov 30, 2016
Last updated
Nov 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Authorized official

Name
Ms. Brittany Glenn McQuilkin
Title
Office Manager
Phone
(208) 888-6077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIA-1742 ID Primary

Addresses

Primary practice location

3085 E Magic View Dr Ste 180
Meridian, ID 83642-3757

Mailing address

3085 E Magic View Dr Ste 180
Meridian, ID 83642-3757
Phone (208) 888-6077

Other names 1

  • Gonstead Spine and Wellness Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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": "1480464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1982147443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 E MAGIC VIEW DR STE 180",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836423757",
            "telephone_number": "208-888-6077",
            "fax_number": "888-447-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 E MAGIC VIEW DR STE 180",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836423757",
            "telephone_number": "208-888-6077",
            "fax_number": "888-447-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICKMAN CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-30",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "MCQUILKIN",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-888-6077",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gonstead Spine and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.