DR. DAVID GEORGE BOOTH (NPI# 1992838601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992838601 |
| Entity Type | Individual |
| Full Name | DR. DAVID GEORGE BOOTH |
| Credential | D.C. |
| Practice Address |
60 S 2nd W Rexburg ID 83440-1819 |
| Mailing Address |
645 S Woodruff Ave Idaho Falls ID 83401-5596 |
| Practice Telephone | 2083592264 |
| Practice Fax Number | 2083590650 |
| Mailing Telephone | 2085529886 |
| Mailing Fax Number | 2085529843 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-01-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIA804 | ID | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE CROSS NUMBER | C8042 | 01 |
| ID | 805108000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558439125 | David Michael Booth | Chiropractor | 1200 East State St, Newcomerstown, OH 43832-0255 | 2006-12-01 |
| 1144250689 | David K Booth II | Family Medicine | 3000 S State Road 135, Suite 310, Greenwood, IN 46143-9825 | 2006-07-03 |
| 1154397404 | David G Booth | Family Medicine | 3535 Park St Ste 110, Norton Shores, MI 49444-3736 | 2006-02-27 |
| 1093788523 | David G Booth | Family Medicine | 1301 Veterans Memorial Blvd, Eupora, MS 39744-2064 | 2006-02-07 |
| 1396275095 | David Booth | Orthotist | 300 Centerville Rd, Warwick, RI 02886-0200 | 2017-06-14 |
| 1154564284 | David J Booth | Registered Nurse | 687 Campbell Ave, West Haven, CT 06516-3774 | 2009-04-20 |
| 1386652733 | David C. Booth | Internal Medicine | Gill Heart Institute 800 Rose St, G100, Lexington, KY 40536-0093 | 2006-08-03 |
| Street Address |
60 S 2ND W |
| City | REXBURG |
| State | ID |
| Zip Code | 83440-1819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740812320 | Back To Health Chiropractic LLC | Clinic/Center | 60 S 2nd W, Rexburg, ID 83440-1819 | 2020-02-11 |
| 1013111764 | Back To Health Chiropractic Clinic Inc | Chiropractor | 60 S 2nd W, Rexburg, ID 83440-1819 | 2007-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235768490 | Henry's Fork Surgery Center Pllc | Clinic/Center | 23 Sawtelle Ave, Rexburg, ID 83440 | 2020-04-08 |
| 1952956906 | Shane Ellis Withers | Pharmacist | 164 E. Main, Rexburg, ID 83440 | 2019-08-06 |
| 1316392285 | Emma Anderson | Speech-Language Pathologist | 36 Professional Plaza Suite 110, Rexburg, ID 83440 | 2016-04-28 |
| 1851755524 | Sandra Frickey | Speech-Language Pathologist | 1087 Summers Drive, Premier Therapy Associates, Rexburg, ID 83440 | 2016-04-08 |
| 1275997215 | Kerry Denney | Counselor | 333 Walker Drive, Rexburg, ID 83440 | 2016-04-06 |
| 1467837583 | Wal-mart Stores, Inc. | Technician/Technologist | 303 E Moody Rd, Rexburg, ID 83440 | 2015-07-30 |
| 1649692609 | Tanabell Health Services, Inc. | Skilled Nursing Facility | 410 W 1st N, Rexburg, ID 83440 | 2014-01-10 |
| 1043652571 | Creed Simon Webster | Counselor | 30 S 2nd W, Rexburg, ID 83440 | 2013-07-25 |
| 1033461660 | James Cannon Allen Dds PC | Dentist | 106 E 1st North, Rexburg, ID 83440 | 2012-10-05 |
| 1417217316 | Shelby Dee Woolstenhulme | Speech-Language Pathologist | 450 E. Main Street, Rexburg, ID 83440 | 2012-05-24 |
| Find all providers in zip 83440 | ||||
| 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 |
|---|---|---|---|---|
| 1366071649 | Kevin Allen | Chiropractor | 237 N 2nd E Ste 106, Rexburg, ID 83440-4977 | 2020-04-07 |
| 1588921654 | Orchard Chiropractic, Inc | Chiropractor | 160 Valley River Dr Ste 3, Rexburg, ID 83440-5313 | 2012-04-13 |
| 1326360405 | Align Your Health Chiropractic Pllc | Chiropractor | 859 S Yellowstone Hwy Ste 301, Rexburg, ID 83440-5321 | 2010-02-17 |
| 1366672545 | Ryan Duane Jones | Chiropractor | 833 N 12th W, Rexburg, ID 83440-5014 | 2009-07-21 |
| 1568503738 | Craig Benjamin Ashby | Chiropractor | 16 S 1st E, Rexburg, ID 83440-1902 | 2007-02-09 |
| 1134279565 | Brad Richard Egbert | Chiropractor | 1134 Bond Ave, Rexburg, ID 83440-3582 | 2007-01-10 |
| 1740364900 | Todd Alvin Orchard | Chiropractor | 160 East Valley River Dr Ste 3, Rexburg, ID 83440 | 2006-10-24 |
| 1225147309 | Stephen Paul Mellor | Chiropractor | 54 Professional Plz, Rexburg, ID 83440-2047 | 2006-08-30 |
| 1205840832 | Scott C White | Chiropractor | 1096 Erikson Dr, Rexburg, ID 83440-5297 | 2006-07-28 |
| 1063496966 | Dana R Miller | Chiropractor | 105 W Main St, Rexburg, ID 83440-1826 | 2005-12-05 |
| Find all providers in REXBURG | ||||
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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.