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Health Spark, LLC

NPI 1205618840ActiveOrganization· Chiropractor· Meridian, ID

Chiropractor in Meridian, Idaho, registered in NPPES in October 2023. The authorized official on file is Russell Allen, DC, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1205618840
StatusActive
Entity typeOrganization
NPI issuedOct 18, 2023
Last updated in NPPESOct 23, 2023
Certified by providerOct 23, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Chiropractor Primary111N00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (ID)

Medicare sources and data years

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