P Praxis·MD
● Active Type 2 · Organization

Evergreen Wellness Group Llc

Chiropractor·Meridian, ID· NPI 1477820215 · Enumerated 2011 · 14 years on NPI
Evergreen Wellness Group Llc is 1 of 1165 chiropractor organizations in Idaho.
NPI age
14 years
Enumerated 2011-11-22
Primary specialty
Chiropractor
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hales
Owner
Last NPPES update
2011-11-22
Source: monthly bulk 2026-05

How this organization compares

Across 1165 active chiropractor providers in Idaho.

NPI age
14 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2011 → 2026

2011-11Enumerated in NPPES
2011 2026

Where they practice

Primary practice location
1640 W Cherry Ln, Suite 130
Meridian, ID 836428187
📞 2088958595fax 2088958594
Mailing address
1640 W Cherry Ln, Suite 130
Meridian, ID 836428187
📞 2088958595fax 2088958594

Authorized official

Matthew D Hales, D.C.
Owner
📞 2088958595

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-1153 taxonomy 111N00000X

Identifiers

TypeValueNotes
05 (ID) 1700106663

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Evergreen Chiropractic
    Type code 3 recorded 2011-11-22

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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