Edward Reza Jr., D.C.
NPI 1003087156ActiveIndividual· Chiropractor· Boise, ID
Chiropractor (D.C.) in Boise, Idaho, trained at Los Angeles College of Chiropractic (class of 2002). Enrolled in Medicare as practitioner - chiropractic.
Overview
| NPI | 1003087156 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.C. |
| Sole proprietor | No |
| NPI issued | Mar 17, 2008 |
| Last updated in NPPES | Oct 9, 2024 |
| Certified by provider | Oct 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 8161070 | ID |
| Chiropractor, Rehabilitation | 111NR0400X | DC28729 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Chiropractic (ID) |
|---|
Education and affiliations
| Medical school | Los Angeles College of Chiropractic |
|---|---|
| Graduation year | 2002 |
| Medicare specialty | Chiropractic |
Medical group
- Ideal HealthNampa, ID · 4 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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