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

IDAHO CHIROPRACTIC GROUP, PLLC
NPI 1639280712
Chiropractor in Boise, ID

Active since August 31, 2006CLIA 13D2226590 · Waiver
403 S 11TH ST, SUITE #110, BOISE, ID 83702(208) 343-6900(208) 343-0642 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Idaho Chiropractic Group, Pllc NPPES

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

IDAHO CHIROPRACTIC GROUP, PLLC (NPI 1639280712) is a healthcare organization registered as a chiropractor in Boise, Idaho and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through June 1, 2027 and lists Julie Careaga, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1639280712
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameIDAHO CHIROPRACTIC GROUP, PLLC
Location Address403 S 11TH ST, SUITE #110Boise, ID 83702-6968
Mailing AddressPo Box 7442Boise, ID 83707-1442
Phone(208) 343-6900
Fax(208) 343-0642
Organization SubpartNo
Authorized OfficialJulie CareagaBilling Manager · (208) 343-6900
Enumeration DateAugust 31, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1639280712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in ID · CHIA-559✔ Licensed in ID · CHIA-802
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.
403 S 11TH ST, Boise, ID 83702
Open in Google Maps ↗

Other Identifiers 2

Other000010027629ID · Blue Shield
OtherC1526ID · Blue Cross

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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Idaho Chiropractic Group, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Idaho Chiropractic Group, PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Corey Matthews, D.C.
Chiropractic
NPI 1407958473
403 S 11TH ST SUITE #110
Boise, ID 83702
(208) 343-6900
Same address
Timothy Klena, D.C.
Chiropractic
NPI 1174625743
403 S 11TH ST SUITE #110
Boise, ID 83702
(208) 343-6900
Same address
Nicolas Asla
Chiropractic
NPI 1780150292
403 S 11TH ST STE 110
Boise, ID 83702
(208) 343-6900
Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2226590

Idaho Chiropractic Group · Boise, ID
Active · expires Jun 1, 2027
CLIA Number13D2226590
Laboratory TypeChiropractic
Certificate Effective DateJune 2, 2025
Certificate Expiration DateJune 1, 2027
Laboratory DirectorTimothy J. Klena
Laboratory Phone(208) 343-6900
Laboratory LocationIdaho Chiropractic Group403 S 11th St Ste 110, Boise, ID 83702
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Idaho Chiropractic Group, PLLC's NPI number?

The NPI number for Idaho Chiropractic Group, PLLC is 1639280712. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Idaho Chiropractic Group, PLLC located?

Idaho Chiropractic Group, PLLC is located at 403 S 11th St Suite #110, Boise, ID 83702. The listed phone number is (208) 343-6900.

What is Idaho Chiropractic Group, PLLC's specialty?

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

Is Idaho Chiropractic Group, PLLC enrolled in Medicare?

Yes. Idaho Chiropractic Group, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Idaho Chiropractic Group, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Chiropractic, reassign their Medicare billing to Idaho Chiropractic Group, PLLC. 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Idaho Chiropractic Group, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2226590) is associated with this NPI, valid through June 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Idaho Chiropractic Group, PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.