MINI-CASSIA CHIROPRACTIC & SPORTS MEDICINE PLLC
NPI 1942705546
Chiropractor in Burley, ID

Active since March 26, 2018
749 N OVERLAND AVE, BURLEY, ID 83318(208) 260-0917(208) 391-2500 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 9, 2024, Mar 26, 2018 (2 updates tracked since 2018).

About Mini-cassia Chiropractic & Sports Medicine Pllc NPPES

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

MINI-CASSIA CHIROPRACTIC & SPORTS MEDICINE PLLC (NPI 1942705546) is a healthcare organization registered as a chiropractor in Burley, Idaho and active in the NPI registry since March 2018. The organization lists Jake W Sanford, Doctor, as its authorized official.

NPPES Registry Identity

NPI1942705546
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameMINI-CASSIA CHIROPRACTIC & SPORTS MEDICINE PLLC
Location Address749 N OVERLAND AVEBurley, ID 83318-3440
Mailing Address2200 Macs AveHeyburn, ID 83336-9734
Fax(208) 391-2500
Organization SubpartNo
Authorized OfficialJake W SanfordDoctor · (208) 260-0917
Enumeration DateMarch 26, 2018
Last NPPES UpdateSeptember 9, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
NPI 1942705546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in ID · CHIA-1817
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.
749 N OVERLAND AVE, Burley, ID 83318

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
749 N OVERLAND AVE
BURLEY, ID 83318

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 Mini-Cassia Chiropractic & Sports Medicine PLLC's NPI number?

The NPI number for Mini-Cassia Chiropractic & Sports Medicine PLLC is 1942705546. It was assigned to this organization in the NPPES registry on March 26, 2018.

Where is Mini-Cassia Chiropractic & Sports Medicine PLLC located?

Mini-Cassia Chiropractic & Sports Medicine PLLC is located at 749 N Overland Ave, Burley, ID 83318. The listed phone number is (208) 260-0917.

What is Mini-Cassia Chiropractic & Sports Medicine 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 Mini-Cassia Chiropractic & Sports Medicine PLLC was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.