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DR. EDWARD REZA JR. D.C.
NPI 1003087156
Chiropractor in Boise, ID

Active since March 17, 2008
8631 W ARDENE ST, BOISE, ID 83709(208) 629-1904(208) 545-1846 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Edward Reza Jr. D.c. NPPES

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

DR. EDWARD REZA JR. D.C. (NPI 1003087156) is an individual chiropractor in Boise, Idaho, licensed in Idaho (8161070) and active in the NPI registry since March 2008. He is a graduate of Los Angeles College Of Chiropractic (2002).

NPPES Registry Identity

NPI1003087156
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. EDWARD REZA JR.Credential: D.C.
Location Address8631 W ARDENE STBoise, ID 83709-2601
Mailing Address8631 W Ardene StBoise, ID 83709-2601 · (208) 629-1904 · Fax (208) 545-1846
Phone(208) 629-1904
Fax(208) 545-1846
Sole ProprietorNo
Medical School CMSLos Angeles College Of ChiropracticGraduated 2002
Enumeration DateMarch 17, 2008
Last NPPES UpdateOctober 9, 2024
NPPES CertifiedOctober 9, 2024
✔ NPI 1003087156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in ID · 8161070
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.
Also ListedChiropractor · RehabilitationTaxonomy 111NR0400X · License DC28729 (CA)
8631 W ARDENE ST, Boise, ID 83709
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Other Identifiers 1

OtherDC28729CA · Chiropractic License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Select Health.Insurance ›

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. Edward Reza Jr. D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971035122
PECOS Enrollment IDI20241014002062

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANAIS ORTEGA QUINONES DC
Chiropractor
8631 W ARDENE ST
BOISE, ID 83709
Ada County (208) 629-1904
MEAGAN K SCHNURR
Chiropractor
8631 W ARDENE ST
BOISE, ID 83709
Ada County (208) 629-1904
ZYRAH GIUSTRA DC
Chiropractor
8631 W ARDENE ST
BOISE, ID 83709
Ada County (208) 629-1904
DR. JOSEPH WILLIAM BETZ DC
Chiropractor
8631 W ARDENE ST
BOISE, ID 83709
Ada County (208) 629-1904
DR. KYLE CLEVELAND BERRY DC
Chiropractor
8631 W ARDENE ST
BOISE, ID 83709
Ada County (208) 629-1904
ANTHONY BAUTISTA LMT, CPT, CES
Massage Therapist
8631 W ARDENE ST
BOISE, ID 83709
Ada County (208) 629-1904

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 Edward Reza's NPI number?

The NPI number for Edward Reza is 1003087156. It was assigned to this individual provider in the NPPES registry on March 17, 2008.

Where is Edward Reza located?

Edward Reza practices at 8631 W Ardene St, Boise, ID 83709. The listed phone number is (208) 629-1904.

What is Edward Reza's specialty?

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

Is Edward Reza enrolled in Medicare?

Yes. Edward Reza is registered in the Medicare PECOS enrollment system.

What insurance does Edward Reza accept?

Health plans from Moda Health Plan, Inc. and Select Health list Edward Reza as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edward Reza was last updated on October 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.