FLETCHER CHIROPRACTIC PLLC (NPI# 1780899054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780899054 |
| Entity Type | Organization |
| Organization Name | FLETCHER CHIROPRACTIC PLLC |
| Other Organization Name | FLETCHER CHIROPRACTIC CENTER |
| Practice Address |
5246 N Eagle Rd Boise ID 83713-0945 |
| Mailing Address |
5246 N Eagle Rd Boise ID 83713 |
| Practice Telephone | (208) 939-3000 |
| Practice Fax Number | 2089393030 |
| Mailing Telephone | 2089393000 |
| Mailing Fax Number | 2089393030 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2017-08-31 |
| Authorized Official Name | DR. SCOTT DAVID FLETCHER (OWNER) |
| Authorized Official Telephone | 2089393000 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 877 | ID | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | REGENCE BLUE SHIELD | 000010028569 | 01 |
| ID | BLUE CROSS | C9362 | 01 |
| Other Name | Type Code |
|---|---|
| Fletcher Chiropractic Center | Doing Business As Name - Organization |
| Street Address |
5246 N EAGLE RD |
| City | BOISE |
| State | ID |
| Zip Code | 83713-0945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265566855 | Scott David Fletcher | Chiropractor | 5246 N Eagle Rd, Boise, ID 83713-0945 | 2007-03-15 |
| 1972978427 | Jillaine Dawn Stmichel | Chiropractor | 5246 N Eagle Rd, Boise, ID 83713 | 2015-12-09 |
| 1942617154 | Laura Wensman | Massage Therapist | 5246 N Eagle Rd, Boise, ID 83713-0945 | 2014-07-20 |
| 1932522752 | Amber Joy Cook | Specialist | 5246 N Eagle Rd, Boise, ID 83713 | 2014-01-30 |
| 1508296880 | Suzannah Lindberg | Massage Therapist | 5246 N Eagle Rd, Boise, ID 83713-0945 | 2013-11-22 |
| 1619300076 | Emily Anne Struthers | Massage Therapist | 5246 N Eagle Rd, Boise, ID 83713-0945 | 2013-08-20 |
| 1114364569 | Joseph Blampied | Chiropractor | 5246 N Eagle Rd, Boise, ID 83713-0945 | 2013-05-24 |
| 1720377633 | Michael Todd Daglen | Chiropractor | 5246 N Eagle Rd, Boise, ID 83713-0945 | 2011-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902332 | Kidscare Home Health of Idaho, LLC | Home Health | 1835 Wildwood Street, Boise, ID 83713 | 2018-11-30 |
| 1417463928 | Kimberly Ann Bohrer | Behavioral Analyst | 12053 W Hickory Dr, Boise, ID 83713 | 2017-12-19 |
| 1407371891 | Emir Hadzic | Optometrist | 13239 W. Fernleaf St., Boise, ID 83713 | 2017-08-07 |
| 1518336650 | Alliance Physical Medicine | Nurse Practitioner | 13909 W Wainwright Drive, Boise, ID 83713 | 2015-09-18 |
| 1083038335 | Jan L Rehder | Nurse Practitioner | 13150 W Persimmon Lane, Boise, ID 83713 | 2014-02-06 |
| 1508287061 | Heather N Fox | Physician Assistant | 12273 West Mcmillan Road, Boise, ID 83713 | 2013-12-30 |
| 1659667459 | Jayson Clark | Dentist | 4274 N Eagle Road, Boise, ID 83713 | 2011-06-21 |
| 1043503659 | Steven Anthony Eckhoff | Physician Assistant | 11662 W Arlen St, Boise, ID 83713 | 2011-05-16 |
| 1790923621 | Christie Dudash Flynn | Physician Assistant | 12273 W Mcmillian Road, Boise, ID 83713 | 2009-01-30 |
| 1699930404 | Dennis J. Garpetti, Dds, P.C. | Dentist | 13108 West Persimmon Lane, Boise, ID 83713 | 2008-07-21 |
| Find all providers in zip 83713 | ||||
| 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.