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GRAND TETON CHIROPRACTIC, PLLC
NPI 1891880779
Chiropractor in Idaho Falls, ID

Active since October 04, 2006
1387 CAMBRIDGE DR, SUITE 100, IDAHO FALLS, ID 83401(208) 529-1919(208) 552-9447 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grand Teton Chiropractic, Pllc NPPES

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

GRAND TETON CHIROPRACTIC, PLLC (NPI 1891880779) is a healthcare organization registered as a chiropractor in Idaho Falls, Idaho and active in the NPI registry since October 2006. The organization lists James Criddle Gardner, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1891880779
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameGRAND TETON CHIROPRACTIC, PLLC
Location Address1387 CAMBRIDGE DR, SUITE 100Idaho Falls, ID 83401-4257
Mailing Address4317 Amber LnAmmon, ID 83406-4640 · (208) 529-1919 · Fax (208) 552-9447
Phone(208) 529-1919
Fax(208) 552-9447
Organization SubpartNo
Authorized OfficialJames Criddle GardnerOwner/manager · (208) 529-1919
Enumeration DateOctober 4, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1891880779 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.
1387 CAMBRIDGE DR, Idaho Falls, ID 83401
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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

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, PLLC's NPI number?

The NPI number for Grand Teton Chiropractic, PLLC is 1891880779. It was assigned to this organization in the NPPES registry on October 4, 2006.

Where is Grand Teton Chiropractic, PLLC located?

Grand Teton Chiropractic, PLLC is located at 1387 Cambridge Dr Suite 100, Idaho Falls, ID 83401. The listed phone number is (208) 529-1919.

What is Grand Teton Chiropractic, PLLC'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, PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.