Northern Lakes Chiropractic Clinic, P.C.
NPI 1710156443ActiveOrganization· Chiropractor· Ponderay, ID
Chiropractor in Ponderay, Idaho, registered in NPPES in February 2008. The authorized official on file is Ryan Leisy, DC, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1710156443 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 27, 2008 |
| Last updated in NPPES | Mar 29, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | CHIA-1250 | ID |
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 Part B Supplier - Clinic/Group Practice (ID) |
|---|
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