REXBURG CHIROPRACTIC CENTER NPI 1407014434

NPI Information

  • NPI: 1407014434
  • Provider Name: REXBURG CHIROPRACTIC CENTER
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 105 W MAIN ST
    REXBURG, ID
    ZIP 83440
  • Phone: (208) 356-6772

Map and Directions

Get Directions

NPI Details

REXBURG CHIROPRACTIC CENTER is a chiropractor in Rexburg, 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. REXBURG CHIROPRACTIC CENTER NPI is 1407014434. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

105 W MAIN ST
REXBURG, ID
ZIP 83440-634
Phone: (208) 356-6772
Fax: (208) 356-8658

The provider's authorized official is Dana R Miller .
The authorized official title is Owner and has the following contact phone number (208) 356-6772.

The enumeration date for this NPI number is 5/27/2008 and was last updated on 5/27/2008.

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
1111N00000XChiropractorCH1A39IDAHOYes

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
11671166MEDICARE PINIDAHO

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI