CORY SHANE LINDSTROM D.C. NPI 1265677587

NPI Information

  • NPI: 1265677587
  • Provider Name: CORY SHANE LINDSTROM, D.C.
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Individual
  • Address: 5216 E. CLEVELAND BLVD
    STE G
    CALDWELL, ID
    ZIP 83607
  • Phone: (208) 454-5500

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NPI Details

Cory Shane Lindstrom, D.C. is a chiropractor in Caldwell, ID. The provider is 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. Cory Shane Lindstrom, D.C. NPI is 1265677587. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5216 E. CLEVELAND BLVD
STE G
CALDWELL, ID
ZIP 83607
Phone: (208) 454-5500
Fax: (208) 454-8877

The enumeration date for this NPI number is 12/16/2008 and was last updated on 4/6/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorCHIA-1335IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11673733MEDICARE UPINIDAHO
2167MEDICARE PINIDAHO
3808502300MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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