NPI age
19 years
Enumerated 2007-04-12
● Active Type 2 · Organization
Teton Headwaters, Inc Dba Aspen Wellness
Teton Headwaters, Inc Dba Aspen Wellness is 1 of 1165 chiropractor organizations in Idaho.
Primary specialty
Chiropractor
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Davis
Owner
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 1165 active chiropractor providers in Idaho.
NPI age
19 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-04Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
164 North Main Street
Victor, ID 83455
Mailing address
Po Box 224, 164 N Main Street
Victor, ID 834550224
Authorized official
James K Davis, DC
Owner
📞 2087871199
Individual providers at this organization
1 individual provider on file at this primary practice address.
- James Davis, DC Chiropractor NPI 1902978323
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...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.