Bodo Chiropractic
NPI 1396171187ActiveOrganization· Chiropractor· Boise, ID
Chiropractor in Boise, Idaho, registered in NPPES in September 2013. The authorized official on file is Jennifer Anne Dorn, DC, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1396171187 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 24, 2013 |
| Last updated in NPPES | Mar 15, 2021 |
| Certified by provider | Mar 15, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | CHIA1559 | ID |
| Chiropractor | 111N00000X | CHIA1560 | ID |
| Chiropractor, Pediatric Chiropractor | 111NP0017X | CHIA1559 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|
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