ACTIVE CHIROPRACTIC, PC
NPI 1679724330
Chiropractor in Boise, ID

Active since September 30, 2008
1521 E BOISE AVE, BOISE, ID 83706(208) 345-3320 Get Directions Write a Review

NPPES record last updated: February 18, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1679724330
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameACTIVE CHIROPRACTIC, PC
Location Address1521 E BOISE AVEBoise, ID 83706-5064
Mailing Address1521 E Boise AveBoise, ID 83706-5064 · (208) 345-3320
Organization SubpartNo
Authorized OfficialJason WatsonPresident · (208) 345-3320
Enumeration DateSeptember 30, 2008
Last NPPES UpdateFebruary 18, 2010
NPI 1679724330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in ID · CHIA-1209
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.
1521 E BOISE AVE, Boise, ID 83706

Other Names 1

Former Legal Business NameActive Chiropractic

Other Identifiers 2

Medicare PIN1C1671267ID
Medicare NSC6297180001ID

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 3

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

Chiropractor
1521 E BOISE AVE
BOISE, ID 83706
Massage Therapist
1521 E BOISE AVE
BOISE, ID 83706
Massage Therapist
1521 E BOISE AVE
BOISE, ID 83706

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.

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.