P Praxis·MD
● Active Type 2 · Organization

Haycock Chiropractic Pc

Chiropractor·Maridian, ID· NPI 1073689618 · Enumerated 2006 · 19 years on NPI
Haycock Chiropractic Pc is 1 of 1165 chiropractor organizations in Idaho.
NPI age
19 years
Enumerated 2006-11-27
Primary specialty
Chiropractor
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Haycock
President
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05

How this organization compares

Across 1165 active chiropractor providers in Idaho.

NPI age
19 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-11Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
1773 S Millenium Way
Maridian, ID 836421511
📞 2088552688fax 2088552689
Mailing address
1773 S Millenium Way
Maridian, ID 836421511
📞 2088552688fax 2088552689

Authorized official

Jason Dale Haycock, DC
President
📞 2088552688

Specialties

  • Chiropractor Primary
    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...
    taxonomy 111N00000X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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