ASPEN RIDGE CHIROPRACTIC
NPI 1164780557
Chiropractor in Ammon, ID

Active since April 24, 2012
3526 BRIAR CREEK LN, AMMON, ID 83406(208) 552-8866 Get Directions Write a Review

NPPES record last updated: May 11, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Aspen Ridge Chiropractic NPPES

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

ASPEN RIDGE CHIROPRACTIC (NPI 1164780557) is a healthcare organization registered as a chiropractor in Ammon, Idaho and active in the NPI registry since April 2012. The organization lists Michael Chad Miller, Doctor, as its authorized official.

NPPES Registry Identity

NPI1164780557
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameASPEN RIDGE CHIROPRACTIC
Location Address3526 BRIAR CREEK LNAmmon, ID 83406-4728
Mailing Address3526 Briar Creek LnAmmon, ID 83406-4728
Organization SubpartNo
Authorized OfficialMichael Chad MillerDoctor · (208) 552-8866
Enumeration DateApril 24, 2012
Last NPPES UpdateMay 11, 2012
✔ NPI 1164780557 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.
3526 BRIAR CREEK LN, 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, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aspen Ridge Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIdahoEnrollment IDO20120508000122Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Aspen Ridge Chiropractic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1093048340
3419 MERLIN DR
Idaho Falls, ID 83404
(208) 552-8866
2.2 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 Aspen Ridge Chiropractic's NPI number?

The NPI number for Aspen Ridge Chiropractic is 1164780557. It was assigned to this organization in the NPPES registry on April 24, 2012.

Where is Aspen Ridge Chiropractic located?

Aspen Ridge Chiropractic is located at 3526 Briar Creek Ln, Ammon, ID 83406. The listed phone number is (208) 552-8866.

What is Aspen Ridge Chiropractic's specialty?

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

Is Aspen Ridge Chiropractic enrolled in Medicare?

Yes. Aspen Ridge Chiropractic is registered in the Medicare PECOS enrollment system.

When is Aspen Ridge Chiropractic's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Idaho, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Aspen Ridge Chiropractic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Aspen Ridge Chiropractic. 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 Aspen Ridge Chiropractic was last updated on May 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.