DR. BENJAMIN EDWARD JEPPE (NPI# 1598702367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598702367 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN EDWARD JEPPE |
| Credential | D.C. |
| Practice Address |
4491 N Dresden Pl Ste 3 Garden City ID 83714-1391 |
| Practice Telephone | 2083781190 |
| Mailing Telephone | 2083781190 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2007-09-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NI0900X |
Chiropractor Specialization: Internist |
CHIA-1048 | ID | Chiropractic Providers |
| Street Address |
4491 N DRESDEN PL STE 3 |
| City | GARDEN CITY |
| State | ID |
| Zip Code | 83714-1391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861672446 | Jeppe Chiropractic Pllc | Chiropractor | 4491 N Dresden Pl Ste 3, Garden City, ID 83714-1391 | 2007-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932683752 | Ikdo State Street LLC | Dentist | 9209 W State St, Garden City, ID 83714 | 2018-09-18 |
| 1437608007 | Carrie Boroughs Breaux | Ophthalmology | 5019 N Sawyer Ave, Garden City, ID 83714 | 2016-09-23 |
| 1841646007 | Alliance Medical Group, LLC | Family Medicine | 5601 W. Chinden Blvd., Garden City, ID 83714 | 2016-05-06 |
| 1134580467 | Rebecca Gillet | Physical Therapist | 6576 W Dufferin Ct, Boise, ID 83714 | 2016-03-15 |
| 1063816007 | Ingri Suzanne Koloski | Counselor | 8969 West Hepburn Lane, Garden City, ID 83714 | 2014-10-20 |
| 1679909329 | Anile Nina | Counselor | 5484 N Gary Lane, Boise, ID 83714 | 2013-09-25 |
| 1215360292 | William Blake Bybee | Dentist | 5833 W. Hidden Springs Dr., Boise, ID 83714 | 2013-08-14 |
| 1871833327 | Charmaine Read | Social Worker | 123 E. 44th St, Ste. A, Garden City, ID 83714 | 2013-02-20 |
| 1811206576 | Bennett Medical Services | Durable Medical Equipment & Medical Supplies | 5220 Sawyer Court, Suite D, Garden City, ID 83714 | 2010-09-29 |
| 1073780680 | Barry Lynn Williams | Pharmacist | 7020 W State Street, Boise, ID 83714 | 2008-05-13 |
| Find all providers in zip 83714 | ||||
| Taxonomy Code | 111NI0900X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Internist |
| The chiropractic internist may serve as a primary care physician or may see patients referred from other providers for evaluation and co-management. Evaluation is focused on the early detection of functional, nutritional, and pathological disorders. A chiropractic internist utilizes the diagnostic instruments necessary for proper examination. In cases where laboratory examination is necessary, a chiropractic internist utilizes a recognized reference laboratory facility. A chiropractic internist may manage his or her own cases or may refer to another specialist when prudent to do so. The chiropractic internist utilizes documented natural therapies, therapeutic lifestyle changes, patient education and other resources to promote patient health and avoidance of disease. |
| Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861555286 | Back Country Chiropractic and Wellness Center Inc. | Chiropractor | 201 Park St., Mccall, ID 83638-1005 | 2006-12-18 |
| 1457362816 | Jason West | Chiropractor | 1185 Call Pl, Pocatello, ID 83201-3034 | 2006-08-11 |
| 1710103643 | Linda Joy Uma Mulnick | Chiropractor | 201 Park St., Mccall, ID 83638-1005 | 2007-04-18 |
| 1033287040 | Robert E Ward IIi | Chiropractor | 135 Warren Ave, Pocatello, ID 83201-4621 | 2006-11-30 |
| City | GARDEN CITY |
| Zip Code | 83714 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.