THE CHIROPRACTOR AT CASTLEBURY
NPI 1063903359
Chiropractor in Eagle, ID

Active since May 23, 2018
3225 W BAVARIA ST STE 101, EAGLE, ID 83616(208) 884-8848(208) 884-8802 Get Directions Write a Review

NPPES record last updated: May 23, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About The Chiropractor At Castlebury NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE CHIROPRACTOR AT CASTLEBURY (NPI 1063903359) is a healthcare organization registered as a chiropractor in Eagle, Idaho and active in the NPI registry since May 2018. The organization lists Gary Craig Ellison, Member, as its authorized official.

NPPES Registry Identity

NPI1063903359
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameTHE CHIROPRACTOR AT CASTLEBURY
Location Address3225 W BAVARIA ST STE 101Eagle, ID 83616-5547
Mailing Address3225 W Bavaria St Ste 101Eagle, ID 83616-5547 · (208) 884-8848 · Fax (208) 884-8802
Fax(208) 884-8802
Organization SubpartNo
Authorized OfficialGary Craig EllisonMember · (208) 884-8848
Enumeration DateMay 23, 2018
NPI 1063903359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in ID · CHIA-845
Definition
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.
3225 W BAVARIA ST STE 101, Eagle, ID 83616

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
3225 W BAVARIA ST STE 101
EAGLE, ID 83616

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Chiropractor At Castlebury's NPI number?

The NPI number for The Chiropractor At Castlebury is 1063903359. It was assigned to this organization in the NPPES registry on May 23, 2018.

Where is The Chiropractor At Castlebury located?

The Chiropractor At Castlebury is located at 3225 W Bavaria St Ste 101, Eagle, ID 83616. The listed phone number is (208) 884-8848.

What is The Chiropractor At Castlebury's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for The Chiropractor At Castlebury was last updated on May 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.