STOREY CHIROPRACTIC CLINIC PC (NPI# 1669782967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669782967 |
| Entity Type | Organization |
| Organization Name | STOREY CHIROPRACTIC CLINIC PC |
| Practice Address |
50 S Broadway Ave Suite A Boise ID 83702-7283 |
| Practice Telephone | 2083452211 |
| Practice Fax Number | 2083452097 |
| Mailing Telephone | 2083452211 |
| Mailing Fax Number | 2083452097 |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2010-12-10 |
| Authorized Official Name | DR. RONALD J STOREY (PRESIDENT) |
| Authorized Official Telephone | 2083452211 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIA 554 | ID | Chiropractic Providers |
| Street Address |
50 S BROADWAY AVE SUITE A |
| City | BOISE |
| State | ID |
| Zip Code | 83702-7283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376875179 | Zachary Mark Bennett | Hearing Instrument Specialist | 50 S Broadway Ave, Suite B, Boise, ID 83702-7283 | 2010-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790321966 | Inland Northwest Neuromonitoring Pllc | Psychiatry & Neurology | 950 Bannock Street, Suite 1100, Boise, ID 83702 | 2019-11-22 |
| 1508359084 | Emily Cook | Dietitian, Registered | St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 | 2018-06-11 |
| 1265925887 | Marla Braendle | Dietitian, Registered | St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 | 2018-06-08 |
| 1114419678 | Sidrah Khan Psychotherapy PC | Social Worker | 242 N 8th St, Suite 200, Boise, ID 83702 | 2018-05-31 |
| 1508386707 | Emp Idaho Nampa, LLC | General Acute Care Hospital | 350 E Myrtle Street, Suite 100, Boise, ID 83702 | 2017-06-20 |
| 1194264077 | Karen Mangum | Dietitian, Registered | 115 N. Main Street, Suite #203, Boise, ID 83702 | 2017-02-13 |
| 1750828422 | Stephen Pyper | Massage Therapist | 14089 Main St #100, Boise, ID 83702 | 2017-01-19 |
| 1427504398 | The Young Mens Christian Association of Boise City Idaho | Health Educator | 419 N 11th St, Boise, ID 83702 | 2016-08-30 |
| 1942756838 | Brent Hiroshi Sasaki | Pharmacist | 500 West Fort Street (119), Boise, ID 83702 | 2016-08-30 |
| 1578912051 | Marnae Walker | Counselor | 509 S. 14th St, Suite 2, Boise, ID 83702 | 2016-06-06 |
| Find all providers in zip 83702 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638143 | Madison J Wills | Chiropractor | 9196 W Emerald St Ste 120, Boise, ID 83704-8003 | 2020-08-04 |
| 1962027433 | Convergence Chiropractic Company | Chiropractor | 404 E Parkcenter Blvd Ste 170, Boise, ID 83706-7564 | 2020-06-10 |
| 1356992788 | John Robert Bynum | Chiropractor | 6013 W Overland Rd Ste 101, Boise, ID 83709-3078 | 2019-09-26 |
| 1386203974 | Dylan Roy | Chiropractor | 5632 W State Street, Boise, ID 83703 | 2019-06-07 |
| 1780150292 | Nicolas Asla | Chiropractor | 403 S 11th St Ste 110, Boise, ID 83702-6968 | 2018-10-23 |
| 1386110385 | Chase Dudley | Chiropractor | 503 N 27th St, Boise, ID 83702-4704 | 2018-10-17 |
| 1730663634 | Ty Rodriguez | Chiropractor | 9328 W Overland Rd, Boise, ID 83709-2505 | 2018-09-18 |
| 1083128151 | Rebecca L Jergenson | Chiropractor | 2300 S Orchard St Ste A, Boise, ID 83705-6723 | 2017-11-27 |
| 1558809558 | Dixon Mooseau | Chiropractor | 1390 S Maple Grove Rd Ste 200, Boise, ID 83709-1610 | 2017-02-09 |
| 1790237956 | Oscar Terrazas Jr. | Chiropractor | 5244 W Overland Rd, Boise, ID 83705-2636 | 2016-11-03 |
| Find all providers in BOISE | ||||
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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.