Grand Teton Chiropractic, P.C.
NPI 1679519193ActiveOrganization· Chiropractor· Idaho Falls, ID
Chiropractor in Idaho Falls, Idaho, registered in NPPES in June 2006. The authorized official on file is James C. Gardner, D.C., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1679519193 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 22, 2006 |
| Last updated in NPPES | Feb 10, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | CHIA 904 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|
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