ACTIVE CHIROPRACTIC, PC
NPI 1679724330
Chiropractor in Boise, ID
About Active Chiropractic, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ACTIVE CHIROPRACTIC, PC (NPI 1679724330), doing business as Active Chiropractic, is a healthcare organization registered as a chiropractor in Boise, Idaho and active in the NPI registry since September 2008. The organization lists Jason Watson, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Active Chiropractic, Pc 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 Active Chiropractic, PC, 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 Active Chiropractic, PC's NPI number?
The NPI number for Active Chiropractic, PC is 1679724330. It was assigned to this organization in the NPPES registry on September 30, 2008. The provider was formerly known as Active Chiropractic.
Where is Active Chiropractic, PC located?
Active Chiropractic, PC is located at 1521 E Boise Ave, Boise, ID 83706. The listed phone number is (208) 345-3320.
What is Active Chiropractic, PC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Active Chiropractic, PC enrolled in Medicare?
Yes. Active Chiropractic, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Active Chiropractic, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Active Chiropractic, PC. 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 Active Chiropractic, PC was last updated on February 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Active Chiropractic, Pc · NPI 1679724330
Chiropractor organization in Boise, Idaho. Organization record, active in the CMS NPPES registry since September 30, 2008.
## Identity
- **NPI:** 1679724330 (Entity type: Organization)
- **Enumerated:** September 30, 2008
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Jason Watson, PRESIDENT
## Practice location
- **Address:** 1521 E BOISE AVE, Boise, ID 83706-5064
- **Phone:** (208) 345-3320
## 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:** February 18, 2010
- **Other identifiers:** Medicare PIN 1C1671267 (ID); Medicare NSC 6297180001 (ID)
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Source: [NPI Profile](https://npiprofile.com/npi/1679724330) · Data from the CMS NPPES public registry.