SIRUCEK CHIROPRACTIC NEUROLOGY CLINIC, INC. (NPI# 1093975302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093975302 |
| Entity Type | Organization |
| Organization Name | SIRUCEK CHIROPRACTIC NEUROLOGY CLINIC, INC. |
| Practice Address |
3080 E Gentry Way Suite 110 Meridian ID 83642-3544 |
| Practice Telephone | 2083457262 |
| Practice Fax Number | 2083431953 |
| Mailing Telephone | 2083457262 |
| Mailing Fax Number | 2083431953 |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2012-02-08 |
| Authorized Official Name | DR. DAX KENDRICK SIRUCEK (OWNER) |
| Authorized Official Telephone | 2083457262 |
| Authorized Official Credential | DC, DACNB |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NN0400X |
Chiropractor Specialization: Neurology |
CHIA1276 | ID | Chiropractic Providers |
| Street Address |
3080 E GENTRY WAY SUITE 110 |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-3544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568466167 | Andrew F Holtz | Family Medicine | 3080 E Gentry Way, Ste 200, Meridian, ID 83642-3544 | 2005-06-10 |
| 1346886777 | Brian Dotter | Pharmacist | 3080 E Gentry Way, Meridian, ID 83642-3544 | 2019-11-20 |
| 1861995102 | Daniel J Allen Do PC | Family Medicine | 3080 E Gentry Way, 100, Meridian, ID 83642-3060 | 2018-03-13 |
| 1922468792 | Alicia Rosales | Social Worker | 3080 E Gentry Way, 202, Meridian, ID 83642-3544 | 2016-03-07 |
| 1558766808 | George Condit II | Massage Therapist | 3080 E Gentry Way, #202, Meridian, ID 83642-3544 | 2014-10-29 |
| 1255676789 | Praxis Medical Group | Internal Medicine | 3080 E Gentry Way, Suite 200, Meridian, ID 83642-3544 | 2012-12-10 |
| 1972860815 | Katrina N Keller | Nurse Practitioner | 3080 E Gentry Way, Meridian, ID 83642-3544 | 2012-04-17 |
| 1104055383 | Maria Teresa Gomez Sirucek | Chiropractor | 3080 E Gentry Way, Suite 110, Meridian, ID 83642-3544 | 2009-07-08 |
| 1669654935 | Dax Sirucek | Chiropractor | 3080 E Gentry Way, 110, Meridian, ID 83642-3544 | 2007-11-28 |
| 1629022116 | Louis Michael Schlickman | Internal Medicine | 3080 E Gentry Way, Suite 200, Meridian, ID 83642-3013 | 2006-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 111NN0400X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Neurology |
| Chiropractic Neurology is defined as the field of functional neurology that engages the internal - and external environment of the individual in a structured and targeted approach to affect positive changes in the nervous system and consequently the physiology and behavior of an individual. Chiropractic Neurologists are board-certified specialists in non-drug, non-surgical care for those with neurologically based health problems. There are many conditions people suffer from that are in this broad category: learning and attention disorders, headaches, vertigo, pain syndromes, developmental disorders, nerve injury, spinal cord injury, head injury or stroke, movement disorders, and many other conditions. |
| Notes: Source: American Chiropractic Neurology Board, 2008 & American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669654935 | Dax Sirucek | Chiropractor | 3080 E Gentry Way, 110, Meridian, ID 83642-3544 | 2007-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467535260 | Wirick Family Chiropractic | Chiropractor | 2238 St. Clair, Idaho Falls, ID 83404 | 2006-10-23 |
| 1164524658 | Brady Matthew Wirick | Chiropractor | 1542 Elk Creek Dr, Idaho Falls, ID 83404-8322 | 2006-09-04 |
| 1699726398 | F. Blake Ambridge | Chiropractor | 1327 W Superior St Ste 103, Sandpoint, ID 83864-2742 | 2006-05-15 |
| 1477516169 | Raymond Keith Mckim | Chiropractor | 2023 12th Ave Rd, Nampa, ID 83686-6311 | 2006-04-11 |
| 1013970698 | Robert W Haug | Chiropractor | 102 S Washington St, Moscow, ID 83843-2842 | 2006-04-06 |
| 1942366851 | Haug Chiropractic P.C. | Chiropractor | 102 S Washington St, Moscow, ID 83843-2842 | 2006-12-28 |
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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.