P Praxis·MD
● Active Type 2 · Organization

Advanced Chiropractic Of Blackfoot

Preferred Provider Organization·Blackfoot, ID· NPI 1720521719 · Enumerated 2016 · 9 years on NPI
Advanced Chiropractic Of Blackfoot is 1 of 14 preferred provider organization organizations in Idaho.
NPI age
9 years
Enumerated 2016-11-23
Primary specialty
Preferred Provider Organization
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Stevens
Owner Operator
Last NPPES update
2019-11-04
Source: monthly bulk 2026-05

How this organization compares

Across 14 active preferred provider organization providers in Idaho.

NPI age
9 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2016 → 2026

2016-11Enumerated in NPPES
2016 2026

Where they practice

Primary practice location
1395 Nw Main St
Blackfoot, ID 832213936
📞 2087850270fax 2087850683
Mailing address
725 Jensen Grove Dr, Suite #4
Blackfoot, ID 832211636
📞 2087850270fax 2087850683

Authorized official

Dee Scott Stevens
Owner Operator
📞 2087850270

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Preferred Provider Organization Primary
    A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but...
    ID license #CHIA-1502 taxonomy 305R00000X

Identifiers

TypeValueNotes
01 (ID) ZIR91475 TRADING PARTNER

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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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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