NPI age
19 years
Enumerated 2006-09-11
● Active
Type 1 · Individual
Michael Warren McCullough, DC
McCullough is 1 of 262 chiropractor providers in Boise and 1 of 1165 in Idaho.
Primary specialty
Chiropractor
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1165 active chiropractor providers in Idaho.
NPI age
19 years
↑ 3 yr above median (16 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
11% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-09Enumerated in NPPES
2006
2026
Where they practice
Practice location
6003 Overland Rd Ste 104, Ste 104
Boise, ID 83709
Mailing address
6003 Overland Rd Ste 104, Ste 104
Boise, ID 83709
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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 0012215 | |
| 01 (ID) | C5162 | BLUE CROSS |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new chiropractor provider has been added in Boise in the last 180 days.
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Request a quote →How to verify this provider
- 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.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.