GRAND TETON CHIROPRACTIC, P.C.
NPI 1679519193
Chiropractor in Idaho Falls, ID

Active since June 22, 2006
1220 E 17TH ST, IDAHO FALLS, ID 83404(208) 529-1919(208) 552-9447 Get Directions Write a Review

NPPES record last updated: February 10, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grand Teton Chiropractic, P.c. NPPES

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

GRAND TETON CHIROPRACTIC, P.C. (NPI 1679519193) is a healthcare organization registered as a chiropractor in Idaho Falls, Idaho and active in the NPI registry since June 2006. The organization lists James C. Gardner, President, as its authorized official.

NPPES Registry Identity

NPI1679519193
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameGRAND TETON CHIROPRACTIC, P.C.
Location Address1220 E 17TH STIdaho Falls, ID 83404-6147
Mailing Address4317 Amber LnAmmon, ID 83406-4640 · (208) 542-9567 · Fax (208) 552-9447
Fax(208) 552-9447
Organization SubpartNo
Authorized OfficialJames C. GardnerPresident · (208) 529-1919
Enumeration DateJune 22, 2006
Last NPPES UpdateFebruary 10, 2014
NPI 1679519193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in ID · CHIA 904
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.
1220 E 17TH ST, Idaho Falls, ID 83404

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
1220 E 17TH ST
IDAHO FALLS, ID 83404

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 Grand Teton Chiropractic, P.C.'s NPI number?

The NPI number for Grand Teton Chiropractic, P.C. is 1679519193. It was assigned to this organization in the NPPES registry on June 22, 2006.

Where is Grand Teton Chiropractic, P.C. located?

Grand Teton Chiropractic, P.C. is located at 1220 E 17th St, Idaho Falls, ID 83404. The listed phone number is (208) 529-1919.

What is Grand Teton Chiropractic, P.C.'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 Grand Teton Chiropractic, P.C. was last updated on February 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.