PREMIER SPORTS & SPINE
NPI 1023793361
Chiropractor in Ammon, ID

Active since June 15, 2023
1320 S AMMON RD, AMMON, ID 83406(208) 360-6770(208) 542-6353 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Premier Sports & Spine NPPES

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

PREMIER SPORTS & SPINE (NPI 1023793361) is a healthcare organization registered as a chiropractor in Ammon, Idaho and active in the NPI registry since June 2023. The organization lists Zachary Steven Lovell, Owner, as its authorized official.

NPPES Registry Identity

NPI1023793361
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePREMIER SPORTS & SPINE
Location Address1320 S AMMON RDAmmon, ID 83406-5810
Mailing Address1786 47th StAmmon, ID 83401-6565 · (208) 360-6770 · Fax (208) 542-6353
Fax(208) 542-6353
Organization SubpartNo
Authorized OfficialZachary Steven LovellOwner · (208) 360-6770
Enumeration DateJune 15, 2023
NPPES CertifiedJune 15, 2023
✔ NPI 1023793361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
1320 S AMMON RD, Ammon, ID 83406

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Premier Sports & Spine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Premier Sports & Spine, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1013557511
740 S WOODRUFF AVE
Idaho Falls, ID 83401
(208) 542-9111
2.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Premier Sports & Spine's NPI number?

The NPI number for Premier Sports & Spine is 1023793361. It was assigned to this organization in the NPPES registry on June 15, 2023.

Where is Premier Sports & Spine located?

Premier Sports & Spine is located at 1320 S Ammon Rd, Ammon, ID 83406. The listed phone number is (208) 360-6770.

What is Premier Sports & Spine's specialty?

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

Is Premier Sports & Spine enrolled in Medicare?

Yes. Premier Sports & Spine is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Sports & Spine?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Premier Sports & Spine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Premier Sports & Spine was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.