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MINI-CASSIA CHIROPRACTIC & SPORTS MEDICINE PLLC
NPI 1942705546
Chiropractor in Burley, ID

Active since March 26, 2018
749 N OVERLAND AVE, BURLEY, ID 83318(208) 260-0917(208) 391-2500 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 9, 2024, Mar 26, 2018 (2 updates tracked since 2018).

About Mini-cassia Chiropractic & Sports Medicine Pllc NPPES

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

MINI-CASSIA CHIROPRACTIC & SPORTS MEDICINE PLLC (NPI 1942705546) is a healthcare organization registered as a chiropractor in Burley, Idaho and active in the NPI registry since March 2018. The organization lists Jake W Sanford, Doctor, as its authorized official.

NPPES Registry Identity

NPI1942705546
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameMINI-CASSIA CHIROPRACTIC & SPORTS MEDICINE PLLC
Location Address749 N OVERLAND AVEBurley, ID 83318-3440
Mailing Address2200 Macs AveHeyburn, ID 83336-9734
Phone(208) 260-0917
Fax(208) 391-2500
Organization SubpartNo
Authorized OfficialJake W SanfordDoctor · (208) 260-0917
Enumeration DateMarch 26, 2018
Last NPPES UpdateSeptember 9, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
✔ NPI 1942705546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in ID · CHIA-1817
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.
749 N OVERLAND AVE, Burley, ID 83318
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mini-cassia Chiropractic & Sports Medicine Pllc 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 Mini-Cassia Chiropractic & Sports Medicine PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jake Sanford, DC
Chiropractic
NPI 1184125288
749 N OVERLAND AVE
Burley, ID 83318
(208) 260-0917
Same address

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 Mini-Cassia Chiropractic & Sports Medicine PLLC's NPI number?

The NPI number for Mini-Cassia Chiropractic & Sports Medicine PLLC is 1942705546. It was assigned to this organization in the NPPES registry on March 26, 2018.

Where is Mini-Cassia Chiropractic & Sports Medicine PLLC located?

Mini-Cassia Chiropractic & Sports Medicine PLLC is located at 749 N Overland Ave, Burley, ID 83318. The listed phone number is (208) 260-0917.

What is Mini-Cassia Chiropractic & Sports Medicine PLLC's specialty?

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

Is Mini-Cassia Chiropractic & Sports Medicine PLLC enrolled in Medicare?

Yes. Mini-Cassia Chiropractic & Sports Medicine PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mini-Cassia Chiropractic & Sports Medicine PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Mini-Cassia Chiropractic & Sports Medicine 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mini-Cassia Chiropractic & Sports Medicine PLLC was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.