DILLON JADE MICHAEL DC
NPI 1619737335
Chiropractor in Eagle, ID

Active since March 20, 2024
1299 E IRON EAGLE DR STE 130, EAGLE, ID 83616(208) 582-3421 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dillon Jade Michael Dc NPPES

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

DILLON JADE MICHAEL DC (NPI 1619737335) is an individual chiropractor in Eagle, Idaho, licensed in Idaho (2171641) and active in the NPI registry since March 2024. He is a graduate of Palmer College Chiropractic - Davenport (2024).

NPPES Registry Identity

NPI1619737335
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDILLON JADE MICHAELCredential: DC
Location Address1299 E IRON EAGLE DR STE 130Eagle, ID 83616-6869
Mailing Address1500 S Lamar Blvd Apt 3057Austin, TX 78704-2949
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2024
Enumeration DateMarch 20, 2024
Last NPPES UpdateApril 9, 2025
NPPES CertifiedApril 9, 2025
NPI 1619737335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in ID · 2171641
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.
1299 E IRON EAGLE DR STE 130, Eagle, ID 83616

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dillon Jade Michael Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385154913
PECOS Enrollment IDI20250611003138

Other Providers at the Same Location NPPES

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

Chiropractor
1299 E IRON EAGLE DR STE 130
EAGLE, ID 83616

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 Dillon Michael's NPI number?

The NPI number for Dillon Michael is 1619737335. It was assigned to this individual provider in the NPPES registry on March 20, 2024.

Where is Dillon Michael located?

Dillon Michael practices at 1299 E Iron Eagle Dr Ste 130, Eagle, ID 83616. The listed phone number is (208) 582-3421.

What is Dillon Michael's specialty?

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

Is Dillon Michael enrolled in Medicare?

Yes. Dillon Michael is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dillon Michael was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.