P Praxis·MD
● Active Type 2 · Organization

Ruddell Chiropractic Clinic

Chiropractor·Lewiston, ID· NPI 1225235906 · Enumerated 2007 · 18 years on NPI
Ruddell Chiropractic Clinic is 1 of 1165 chiropractor organizations in Idaho.
NPI age
18 years
Enumerated 2007-06-27
Primary specialty
Chiropractor
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ruddell
Chiropractor
Last NPPES update
2017-03-20
Source: monthly bulk 2026-05

How this organization compares

Across 1165 active chiropractor providers in Idaho.

NPI age
18 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-06Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
1117 16th Ave
Lewiston, ID 835013739
📞 2087438401fax 2087438722
Mailing address
1117 16th Ave
Lewiston, ID 835013739
📞 2087438401fax 2087438722

Authorized official

Brian T Ruddell, D.C.
Chiropractor
📞 2087438401

Specialties

  • Chiropractor Primary
    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...
    ID license #CHIA-503 taxonomy 111N00000X

Identifiers

TypeValueNotes
05 (ID) 805054900

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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