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DR. JACK A LONG D.C.
NPI 1184792129
Chiropractor in Meridian, ID

Active since November 30, 2006
2893 E GREEN CANYON DR, MERIDIAN, ID 83642(208) 850-6511(208) 888-3882 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jack A Long D.c. NPPES

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

DR. JACK A LONG D.C. (NPI 1184792129) is an individual chiropractor in Meridian, Idaho, licensed in Idaho (CHIA-352) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1184792129
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JACK A LONGCredential: D.C.
Location Address2893 E GREEN CANYON DRMeridian, ID 83642-9105
Mailing Address2893 E Green Canyon DrMeridian, ID 83642-9105 · (208) 850-6511 · Fax (208) 888-3882
Phone(208) 850-6511
Fax(208) 888-3882
Sole ProprietorYes
Enumeration DateNovember 30, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1184792129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in ID · CHIA-352
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.
2893 E GREEN CANYON DR, Meridian, ID 83642
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Other Identifiers 2

Medicaid0025046ID
Medicare ID-Type Unspecified1670956ID · Chiropractic Provider

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 Jack Long's NPI number?

The NPI number for Jack Long is 1184792129. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is Jack Long located?

Jack Long practices at 2893 E Green Canyon Dr, Meridian, ID 83642. The listed phone number is (208) 850-6511.

What is Jack Long'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 Jack Long was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.