HEALTH SPARK, LLC
NPI 1205618840
Chiropractor in Meridian, ID

Q: What is Health Spark, LLC's NPI number?

The NPI number for Health Spark, LLC is 1205618840. It was assigned to this organization in the NPPES registry on October 18, 2023.

Q: What is Health Spark, LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Health Spark, LLC was last updated on October 23, 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.

Active since October 18, 2023

4771 N SUMMIT WAY STE 110, MERIDIAN, ID 83646(208) 994-4747 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 23, 2023, Oct 18, 2023 (2 updates tracked since 2023).

On this page

About Health Spark, Llc NPPES

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

HEALTH SPARK, LLC (NPI 1205618840) is a healthcare organization registered as a chiropractor in Meridian, Idaho and active in the NPI registry since October 2023. The organization lists Russell Allen, Owner, as its authorized official.

NPPES Registry Identity

NPI1205618840

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameHEALTH SPARK, LLC

Location Address4771 N SUMMIT WAY STE 110Meridian, ID 83646-5017

Mailing Address4771 N Summit Way Ste 110Meridian, ID 83646-5017 · (208) 994-4747

Phone(208) 994-4747

Organization SubpartNo

Authorized OfficialRussell AllenOwner · (208) 994-4747

Enumeration DateOctober 18, 2023

Last NPPES UpdateOctober 23, 20232 updates tracked since enumeration

NPPES CertifiedOctober 23, 2023

✔ NPI 1205618840 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.

4771 N SUMMIT WAY STE 110, Meridian, ID 83646

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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

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Health Spark, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Health Spark, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Russell Allen, DC

Chiropractic

NPI 1093730400

4771 N SUMMIT WAY STE 110
Meridian, ID 83646

(208) 994-4747

✔ Accepts MedicareSame address

Shawn Stadlbauer, DC

Chiropractic

NPI 1447973250

4771 N SUMMIT WAY STE 110
Meridian, ID 83646

(208) 994-4747

✔ Accepts MedicareSame address

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 Health Spark, LLC's NPI number?

The NPI number for Health Spark, LLC is 1205618840. It was assigned to this organization in the NPPES registry on October 18, 2023.

Where is Health Spark, LLC located?

Health Spark, LLC is located at 4771 N Summit Way Ste 110, Meridian, ID 83646. The listed phone number is (208) 994-4747.

What is Health Spark, LLC's specialty?

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

Is Health Spark, LLC enrolled in Medicare?

Yes. Health Spark, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Health Spark, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Health Spark, LLC. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Health Spark, LLC accept?

Health plans from Moda Health Plan, Inc. list Health Spark, LLC 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 Health Spark, LLC was last updated on October 23, 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.