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DR. GARY CRAIG ELLISON D.C.
NPI 1780883389
Chiropractor in Eagle, ID

Active since July 13, 2007
3225 W BAVARIA ST 101, EAGLE, ID 83616(208) 884-8848 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 22, 2026, Nov 16, 2015 (2 updates tracked since 2015).

About Dr. Gary Craig Ellison D.c. NPPES

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

DR. GARY CRAIG ELLISON D.C. (NPI 1780883389) is an individual chiropractor in Eagle, Idaho, licensed in Idaho (C8455) and active in the NPI registry since July 2007. He is a graduate of Los Angeles College Of Chiropractic (1996).

NPPES Registry Identity

NPI1780883389
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. GARY CRAIG ELLISONCredential: D.C.
Location Address3225 W BAVARIA ST 101Eagle, ID 83616-5547
Mailing Address3225 W Bavaria St Ste 101Eagle, ID 83616-5547 · (208) 884-8848 · Fax (208) 884-8802
Phone(208) 884-8848
Sole ProprietorYes
Medical School CMSLos Angeles College Of ChiropracticGraduated 1996
Enumeration DateJuly 13, 2007
Last NPPES UpdateJanuary 22, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2026
✔ NPI 1780883389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in ID · C8455
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 101, Eagle, ID 83616
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Other Names 1

Other Name (5)Dr. Gary Craid Ellison D.c.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gary Craig Ellison D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749316727
PECOS Enrollment IDI20100329001003

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
257 services22 patients

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 Gary Ellison's NPI number?

The NPI number for Gary Ellison is 1780883389. It was assigned to this individual provider in the NPPES registry on July 13, 2007. The provider is also known as Dr. Gary Craid Ellison D.C..

Where is Gary Ellison located?

Gary Ellison practices at 3225 W Bavaria St 101, Eagle, ID 83616. The listed phone number is (208) 884-8848.

What is Gary Ellison's specialty?

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

Is Gary Ellison enrolled in Medicare?

Yes. Gary Ellison is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gary Ellison was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.