NORTHSIDE CHIROPRACTIC
NPI 1689709735
Clinic/Center - Health Service in Boise, ID
About Northside Chiropractic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHSIDE CHIROPRACTIC (NPI 1689709735) is a healthcare organization registered as a health service in Boise, Idaho and active in the NPI registry since February 2007. The organization lists Mick L. Tiegs, Doctor Of Chiropractic, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Northside Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Northside Chiropractic, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
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 Dr. Mick L. Tiegs, Inc., Ps's NPI number?
The NPI number for Dr. Mick L. Tiegs, Inc., Ps is 1689709735. It was assigned to this organization in the NPPES registry on February 22, 2007. The provider is doing business as Northside Chiropractic.
Where is Dr. Mick L. Tiegs, Inc., Ps located?
Dr. Mick L. Tiegs, Inc., Ps is located at 2301 N 36th St, Boise, ID 83703. The listed phone number is (208) 571-8418.
What is Dr. Mick L. Tiegs, Inc., Ps's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.
Is Dr. Mick L. Tiegs, Inc., Ps enrolled in Medicare?
Yes. Dr. Mick L. Tiegs, Inc., Ps is registered in the Medicare PECOS enrollment system.
When is Dr. Mick L. Tiegs, Inc., Ps's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Idaho, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Dr. Mick L. Tiegs, Inc., Ps?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Dr. Mick L. Tiegs, Inc., Ps. 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.
What insurance does Dr. Mick L. Tiegs, Inc., Ps accept?
Health plans from Moda Health Plan, Inc. and Molina Healthcare list Dr. Mick L. Tiegs, Inc., Ps as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Dr. Mick L. Tiegs, Inc., Ps was last updated on February 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Northside Chiropractic · NPI 1689709735
Health Service organization in Boise, Idaho. Organization record, active in the CMS NPPES registry since February 22, 2007.
## Identity
- **NPI:** 1689709735 (Entity type: Organization)
- **Enumerated:** February 22, 2007
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Legal business name:** Dr. Mick L. Tiegs, Inc., Ps
- **Organization subpart:** No
- **Authorized official:** Mick Tiegs, DOCTOR OF CHIROPRACTIC
## Practice location
- **Address:** 2301 N 36TH ST, Boise, ID 83703-5207
- **Phone:** (208) 571-8418 · **Fax:** (208) 344-5277
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Idaho, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Chiropractic) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 4, 2008
- **Other identifiers:** Medicare UPIN U62975 (WA); Other 1497750350 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1689709735) · Data from the CMS NPPES public registry.