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EVERGREEN CHIROPRACTIC
NPI 1700106663
Chiropractor in Meridian, ID

Active since June 02, 2010
1640 W CHERRY LN # 130, MERIDIAN, ID 83642(208) 895-8595(208) 895-8594 Get Directions Write a Review

NPPES record last updated: June 2, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evergreen Chiropractic NPPES

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

EVERGREEN CHIROPRACTIC (NPI 1700106663) is a healthcare organization registered as a chiropractor in Meridian, Idaho and active in the NPI registry since June 2010. The organization lists Matthew David Hales, Vice-president, as its authorized official.

NPPES Registry Identity

NPI1700106663
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameTHE OTHER ROAD INCORPORATED
Location Address1640 W CHERRY LN # 130Meridian, ID 83642-8187
Mailing Address1640 W Cherry Ln # 130Meridian, ID 83642-8187 · (208) 895-8595 · Fax (208) 895-8594
Phone(208) 895-8595
Fax(208) 895-8594
Organization SubpartNo
Authorized OfficialMatthew David HalesVice-president · (208) 895-8595
Enumeration DateJune 2, 2010
✔ NPI 1700106663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
1640 W CHERRY LN # 130, Meridian, ID 83642
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Other Names 1

Doing Business AsEvergreen Chiropractic

Other Identifiers 2

Other8M574ID · Bluc Cross Group#
Medicare PIN1366521ID

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

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 The Other Road Incorporated's NPI number?

The NPI number for The Other Road Incorporated is 1700106663. It was assigned to this organization in the NPPES registry on June 2, 2010. The provider is doing business as Evergreen Chiropractic.

Where is The Other Road Incorporated located?

The Other Road Incorporated is located at 1640 W Cherry Ln # 130, Meridian, ID 83642. The listed phone number is (208) 895-8595.

What is The Other Road Incorporated'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 The Other Road Incorporated was last updated on June 2, 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.