1. Home
  2. Directory
  3. Idaho
  4. Nampa
  5. Chiropractor
  6. NPI Profile

PRIME SPORTS MED
NPI 1407354574
Chiropractor in Nampa, ID

Active since January 24, 2018
1601 12TH AVE RD, SUITE 101, NAMPA, ID 83686(208) 466-0200 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 25, 2021, Jul 9, 2020 (2 updates tracked since 2020).

About Prime Sports Med NPPES

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

PRIME SPORTS MED (NPI 1407354574) is a healthcare organization registered as a chiropractor in Nampa, Idaho and active in the NPI registry since January 2018. The organization maintains 2 additional practice locations and lists Jacob Bower, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1407354574
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePRIME SPORTS MED
Location Address1601 12TH AVE RD, SUITE 101Nampa, ID 83686-5015
Mailing Address1601 12th Ave Rd, Suite 101Nampa, ID 83686-5015
Phone(208) 466-0200
Organization SubpartNo
Authorized OfficialJacob BowerChiropractor · (208) 466-0200
Enumeration DateJanuary 24, 2018
Last NPPES UpdateMay 25, 20212 updates tracked since enumeration
NPPES CertifiedMay 25, 2021
✔ NPI 1407354574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in ID · CHIA-1618
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 ListedPhysical TherapistTaxonomy 225100000X
1601 12TH AVE RD, Nampa, ID 83686
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1701 Arthur StCaldwell, ID 83605-3723 · Phone (208) 999-6233 · Fax (208) 463-0649
Location 2304 12th Ave RdNampa, ID 83686-5015 · Phone (208) 466-0200 · Fax (208) 463-0649

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

DR. SAMUEL TANNER FIELD DC
Chiropractor
1601 12TH AVE RD, SUITE 101
NAMPA, ID 83686
Canyon County (208) 466-0200
JARED W SIMONSON DPT
Physical Therapist
1601 12TH AVE RD, SUITE 101
NAMPA, ID 83686
Canyon County (208) 466-0200
DR. PAUL J CLAWSON DDS
Dentist (General Practice)
1601 12TH AVE RD, STE 103
NAMPA, ID 83686
Canyon County (208) 467-9690
DR. JAROM L JOHN DDS
Dentist
1601 12TH AVE RD, SUITE 103
NAMPA, ID 83686
Canyon County (208) 467-9690
DR. MARK EVANS DMD
Dentist
1601 12TH AVE RD
NAMPA, ID 83686
Canyon County (208) 467-9690
JACOB BOWER
Chiropractor (Sports Physician)
1601 12TH AVE RD, SUITE 101
NAMPA, ID 83686
Canyon County (208) 466-0200

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 Prime Sports Med's NPI number?

The NPI number for Prime Sports Med is 1407354574. It was assigned to this organization in the NPPES registry on January 24, 2018.

Where is Prime Sports Med located?

Prime Sports Med is located at 1601 12th Ave Rd Suite 101, Nampa, ID 83686. The listed phone number is (208) 466-0200.

What is Prime Sports Med's specialty?

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

When was this NPI record last updated?

The NPPES record for Prime Sports Med was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.