Grand Teton Chiropractic, PLLC
NPI 1891880779ActiveOrganization· Chiropractor· Idaho Falls, ID
Chiropractor in Idaho Falls, Idaho, registered in NPPES in October 2006. The authorized official on file is James Criddle Gardner, D.C., Owner/Manager.
Overview
| NPI | 1891880779 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 4, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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