Dr. Darth Gerard West , DC
Chiropractor • Pocatello, ID
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Darth West has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Darth West, DC was a registered Chiropractor practicing in Pocatello, ID. Throughout an active medical career spanning 17 years, Dr. West provided care at the practice location at 1155 POCATELLO CREEK RD. until profile deactivation on 2023-03-29.
Practice Location & Contact Primary Location
1155 Pocatello Creek Rd.
Pocatello, ID 83201
Specialty Benchmarks & Practice Insights
Comparative analytics for Chiropractor in Pocatello, ID
Practicing in Pocatello, ID (740 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 111N00000X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Denturist
LD(LICENSEDDENTU
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 29, 2023
NPI status registered as active in NPPES database
Registered at 1155 POCATELLO CREEK RD., POCATELLO, ID 83201 (Tel: 2082333800)
Registered at 8117 WEST BUCKSKIN RD., POCATELLO, ID 83201 (Tel: 2082328054)
Recorded as DARTH WEST, D.C.
Chiropractor (License #CHIA277 in ID)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
8117 West Buckskin Rd.
Pocatello, ID 83201
Phone: 2082328054
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