Organization Active NPI

Healthy Creations Inc

  • Chiropractor
  • Boise, ID
National Provider Identifier
1003162488
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA730 Issued in ID
Legal business name
HEALTHY CREATIONS INC
Practice address
2999 N Lakeharbor LN Ste 201
Boise, ID 83703-6291
Phone
(208) 853-2277
Fax
(208) 853-2278
NPI assigned
Aug 3, 2012
Last updated
Sep 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lee Erik Thompson, DCNPI 1114982006
Title
President
Phone
(208) 853-2277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIA730 ID Primary

Addresses

Primary practice location

2999 N Lakeharbor LN Ste 201
Boise, ID 83703-6291

Mailing address

2999 N Lakeharbor LN Ste 201
Boise, ID 83703-6291
Phone (208) 853-2277

Other identifiers 4

IdentifierTypeStateIssuer
002738600MedicaidID
100000030009OtherREGENCE
000010022893OtherIDREGENCE
C9969OtherIDBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121012000786 ID Part B Supplier - Clinic/Group Practice 3173772845 Receives reassigned benefits from 1 practitioner
Practice locations: Boise, ID

National Provider Directory

National Provider Directory

Locations

6727 W State St
Ste 130
Garden City, ID 83714
Phone (208) 853-2277

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1003162488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 N LAKEHARBOR LN STE 201",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837036291",
            "telephone_number": "208-853-2277",
            "fax_number": "208-853-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 N LAKEHARBOR LN STE 201",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837036291",
            "telephone_number": "208-853-2277",
            "fax_number": "208-853-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY CREATIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-03",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "ERIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-853-2277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002738600",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "100000030009",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "000010022893",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "C9969",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.