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Advanced Chiropractic of Blackfoot

NPI 1720521719ActiveOrganization· Preferred Provider Organization· Blackfoot, ID

Preferred Provider Organization in Blackfoot, Idaho, registered in NPPES in November 2016. The authorized official on file is Dee Scott Stevens, Owner Operator.

Overview

NPI1720521719
StatusActive
Entity typeOrganization
NPI issuedNov 23, 2016
Last updated in NPPESNov 4, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Preferred Provider Organization Primary305R00000XCHIA-1502ID

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)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Preferred Provider Organization providers in Blackfoot

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