INDIAN CREEK CHIROPRACTIC PLLC
NPI 1942982822
Chiropractor in Caldwell, ID

Active since August 01, 2023
2523 S 10TH AVE STE 102, CALDWELL, ID 83605(208) 649-4321 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Indian Creek Chiropractic Pllc NPPES

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

INDIAN CREEK CHIROPRACTIC PLLC (NPI 1942982822) is a healthcare organization registered as a chiropractor in Caldwell, Idaho and active in the NPI registry since August 2023. The organization lists Jordan Weaver, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1942982822
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameINDIAN CREEK CHIROPRACTIC PLLC
Location Address2523 S 10TH AVE STE 102Caldwell, ID 83605-6760
Mailing Address2523 S 10th Ave Ste 102Caldwell, ID 83605-6760 · (208) 649-4321
Organization SubpartNo
Authorized OfficialJordan WeaverChiropractor · (208) 949-5347
Enumeration DateAugust 1, 2023
NPPES CertifiedAugust 1, 2023
✔ NPI 1942982822 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.
2523 S 10TH AVE STE 102, Caldwell, ID 83605

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)

Indian Creek Chiropractic 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 Indian Creek Chiropractic PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1164987020
2523 S 10TH AVE STE 102
Caldwell, ID 83605
(208) 649-4321
✔ Accepts MedicareSame 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 Indian Creek Chiropractic PLLC's NPI number?

The NPI number for Indian Creek Chiropractic PLLC is 1942982822. It was assigned to this organization in the NPPES registry on August 1, 2023.

Where is Indian Creek Chiropractic PLLC located?

Indian Creek Chiropractic PLLC is located at 2523 S 10th Ave Ste 102, Caldwell, ID 83605. The listed phone number is (208) 649-4321.

What is Indian Creek Chiropractic PLLC's specialty?

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

Is Indian Creek Chiropractic PLLC enrolled in Medicare?

Yes. Indian Creek Chiropractic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Indian Creek Chiropractic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Indian Creek Chiropractic 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 Indian Creek Chiropractic PLLC was last updated on August 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.