UPPER CERVICAL CLINICS OF IDAHO
NPI 1316113368
Clinic/Center in Meridian, ID
About Upper Cervical Clinics Of Idaho NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
UPPER CERVICAL CLINICS OF IDAHO (NPI 1316113368) is a healthcare organization registered as a clinic/center in Meridian, Idaho and active in the NPI registry since April 2008. The organization lists Grayson Blom, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Upper Cervical Clinics Of Idaho 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 Upper Cervical Clinics Of Idaho, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Upper Cervical Clinics Of Idaho's NPI number?
The NPI number for Upper Cervical Clinics Of Idaho is 1316113368. It was assigned to this organization in the NPPES registry on April 30, 2008.
Where is Upper Cervical Clinics Of Idaho located?
Upper Cervical Clinics Of Idaho is located at 3023 E Copper Point Dr Ste 104, Meridian, ID 83642. The listed phone number is (208) 559-0541.
What is Upper Cervical Clinics Of Idaho's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Upper Cervical Clinics Of Idaho enrolled in Medicare?
Yes. Upper Cervical Clinics Of Idaho is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Upper Cervical Clinics Of Idaho?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Upper Cervical Clinics Of Idaho. 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 Upper Cervical Clinics Of Idaho was last updated on April 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Upper Cervical Clinics Of Idaho · NPI 1316113368
Clinic/Center organization in Meridian, Idaho. Organization record, active in the CMS NPPES registry since April 30, 2008.
## Identity
- **NPI:** 1316113368 (Entity type: Organization)
- **Enumerated:** April 30, 2008
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Grayson Blom, PRESIDENT
## Practice location
- **Address:** 3023 E COPPER POINT DR STE 104, Meridian, ID 83642-1740
- **Phone:** (208) 559-0541
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 30, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1316113368) · Data from the CMS NPPES public registry.