P Praxis·MD
● Active Type 2 · Organization

Idaho Spine Clinic Llc

Chiropractor·Malad City, ID· NPI 1679805535 · Enumerated 2010 · 16 years on NPI
Idaho Spine Clinic Llc is 1 of 1165 chiropractor organizations in Idaho.
NPI age
16 years
Enumerated 2010-02-03
Primary specialty
Chiropractor
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Perry
Doctor Of Chiropractic
Last NPPES update
2010-02-03
Source: monthly bulk 2026-05

How this organization compares

Across 1165 active chiropractor providers in Idaho.

NPI age
16 years
≈ at median (16 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2010 → 2026

2010-02Enumerated in NPPES
2010 2026

Where they practice

Primary practice location
148 E 50 S
Malad City, ID 832521368
📞 2087668111fax 2087668111
Mailing address
Po Box 69
Malad City, ID 832520069
📞 2087668111fax 2087668111

Authorized official

Ronald Eugene Perry, DC
Doctor Of Chiropractic
📞 2087668111

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-837 taxonomy 111N00000X

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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