EVOLUTION CHIROPRACTIC (NPI# 1285006403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285006403 |
| Entity Type | Organization |
| Organization Name | EVOLUTION CHIROPRACTIC |
| Practice Address |
1410 E 17th St Idaho Falls ID 83404-6269 |
| Practice Telephone | 2085529600 |
| Mailing Telephone | 2085529600 |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |
| Authorized Official Name | DR. THOMAS R BENCH (OWNER) |
| Authorized Official Telephone | 2085529600 |
| Authorized Official Credential | D.C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIA-1393 | ID | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316397193 | Evolution Chiropractic | Chiropractor | 1705 Mount Vernon Rd, Dunwoody, GA 30338-4261 | 2016-06-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | EVOLUTION CHIROPRACTIC LLC | 9909 224th St E Unit 100a, Graham, WA 98338-7086 |
| Street Address |
1410 E 17TH ST |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-6269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902902208 | Brett Eddis Mooso | Dentist | 1410 E 17th St, Idaho Falls, ID 83404-6269 | 2006-09-15 |
| 1386981900 | Jason Van Sickle | Chiropractor | 1410 E 17th St, Idaho Falls, ID 83404-6269 | 2013-01-16 |
| 1558692988 | Thomas R. Bench | Chiropractor | 1410 E 17th St, Idaho Falls, ID 83404-6269 | 2010-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| 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 |
|---|---|---|---|---|
| 1639655970 | Derek C Calaway | Chiropractor | 661 S Woodruff Ave, Idaho Falls, ID 83401-3362 | 2018-07-18 |
| 1275969206 | Chad Robert Webb | Chiropractor | 1797 W Broadway St, Idaho Falls, ID 83402-3045 | 2013-09-23 |
| 1316286081 | Fit 4 Life Chiropractic LLC | Chiropractor | 2086 E 25th St, Idaho Falls, ID 83404-6490 | 2013-01-31 |
| 1174889372 | Kelly D Harris Dc Pa | Chiropractor | 211 S Woodruff Ave Ste A1, Idaho Falls, ID 83401-4865 | 2012-04-02 |
| 1558500652 | Jaman B Brunson | Chiropractor | 3092 S 25th E, Idaho Falls, ID 83404-6520 | 2009-02-12 |
| 1861639221 | Justin Tyrell Hammon | Chiropractor | 2105 Niagara St, Idaho Falls, ID 83404-8026 | 2009-01-07 |
| 1649441726 | Wade Kelly Price | Chiropractor | 275 N Woodruff Ave, Idaho Falls, ID 83401-4303 | 2008-03-17 |
| 1184801946 | Wight Chiropractic, Pa | Chiropractor | 333 S. Woodruff Ave, Idaho Falls, ID 83401 | 2008-01-23 |
| 1477739639 | Sermon Chiropractic P.a. | Chiropractor | 3092 S. 25th E., Idaho Falls, ID 83404 | 2008-01-17 |
| 1437285632 | Kerry Vince Young | Chiropractor | 1846 1st St, Idaho Falls, ID 83401-4415 | 2007-02-24 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
Please comment or provide details below to improve the information on EVOLUTION CHIROPRACTIC.
| 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.