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EVERGREEN CHIROPRACTIC
NPI 1477820215
Chiropractor in Meridian, ID

Active since November 22, 2011
1640 W CHERRY LN, SUITE 130, MERIDIAN, ID 83642(208) 895-8595(208) 895-8594 Get Directions Write a Review

NPPES record last updated: November 22, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Evergreen Chiropractic NPPES

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

EVERGREEN CHIROPRACTIC (NPI 1477820215) is a healthcare organization registered as a chiropractor in Meridian, Idaho and active in the NPI registry since November 2011. The organization lists Matthew D Hales, Owner, as its authorized official.

NPPES Registry Identity

NPI1477820215
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameEVERGREEN WELLNESS GROUP LLC
Location Address1640 W CHERRY LN, SUITE 130Meridian, ID 83642-8187
Mailing Address1640 W Cherry Ln, Suite 130Meridian, ID 83642-8187 · (208) 895-8595 · Fax (208) 895-8594
Phone(208) 895-8595
Fax(208) 895-8594
Organization SubpartNo
Authorized OfficialMatthew D HalesOwner · (208) 895-8595
Enumeration DateNovember 22, 2011
✔ NPI 1477820215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in ID · CHIA-1153
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.

1640 W CHERRY LN, Meridian, ID 83642
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Other Names 1

Doing Business AsEvergreen Chiropractic

Other Identifiers 1

Medicaid1700106663ID

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

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADVANCED PT LLC
Physical Therapist
1640 W CHERRY LN, STE 120
MERIDIAN, ID 83642
Ada County (208) 855-2099
LUX WELLNESS LLC
Exclusive Provider Organization
1640 W CHERRY LN, SUITE 130
MERIDIAN, ID 83642
Ada County (208) 895-8595
EVERGREEN NATURAL HEALTH SOLUTIONS
Chiropractor
1640 W CHERRY LN, 130
MERIDIAN, ID 83642
Ada County (208) 895-8595
BALANCED LIFE CHIROPRACTIC
Chiropractor
1640 W CHERRY LN, #130
MERIDIAN, ID 83642
Ada County (208) 895-8595

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 Evergreen Wellness Group LLC's NPI number?

The NPI number for Evergreen Wellness Group LLC is 1477820215. It was assigned to this organization in the NPPES registry on November 22, 2011. The provider is doing business as Evergreen Chiropractic.

Where is Evergreen Wellness Group LLC located?

Evergreen Wellness Group LLC is located at 1640 W Cherry Ln Suite 130, Meridian, ID 83642. The listed phone number is (208) 895-8595.

What is Evergreen Wellness Group LLC'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 Evergreen Wellness Group LLC was last updated on November 22, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.