NPI age
18 years
Enumerated 2008-03-17
● Active
Type 1 · Individual
Dr. Edward Reza JR., D.C.
Reza is 1 of 265 chiropractor providers in Boise and 1 of 1,183 in Idaho.
Primary specialty
Chiropractor
Plus 1 subspecialty
Licensed in
ID, CA
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-10-09
Source: CMS NPPES provider record
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1183 active chiropractor providers in Idaho.
NPI age
18 years
≈ at median (17 yr)
State licenses
2 states
Top 92% — 7% of peers are multi-state
Subspecialties
1
In the 12% of peers with subspecialties
NPI lifetime · 2008 → 2024
2008-03Enumerated in NPPES
2008
2024
Where they practice
Practice location
8631 W Ardene St
Boise, ID 837092601
Mailing address
8631 W Ardene St
Boise, ID 837092601
Specialties
-
Chiropractor PrimaryA 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...
-
ChiropractorRehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (CA) | DC28729 | CHIROPRACTIC LICENSE |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Medicare directory context
Medicare specialties
Chiropractic
Medical school
Los Angeles College Of Chiropractic
Graduation year 2002
Largest Medicare group
4 members
Largest listed enrollment group
Facility affiliations reported by CMS
- Ideal Health
Practice context
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
Recently enumerated nearby: 3 new chiropractor providers have been added in Boise in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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