Individual provider Active NPI

Todd Steven Pickman, D.C.

  • Chiropractor
  • Meridian, ID
National Provider Identifier
1013018282
Registry record updated May 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-1516 Issued in ID
Practice address
3085 E Magic View Dr. Suite 180
Meridian, ID 83642
Phone
(208) 888-6077
Fax
(888) 447-1415
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIA-1516 ID Primary

Addresses

Primary practice location

3085 E Magic View Dr. Suite 180
Meridian, ID 83642

Mailing address

3085 E Magic View Dr Ste 180
Meridian, ID 83642-3745
Phone (208) 888-6077

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130830000384 ID Practitioner - Chiropractic 6901067198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Pickman Chiropractic IncGroup PAC ID 7810111879, 2 clinicians

Practice addresses (Care Compare)

3085 E Magic View Dr
Suite 180
Meridian, ID 83642-3745
Phone (208) 888-6077

3085 E Magic View Dr
Suite 180
Meridian, ID 83642-3757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIA-1516IDMDChiropractor
1588NMMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pickman Chiropractic Chiropractor Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527465600000",
    "number": "1013018282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 E MAGIC VIEW DR STE 180",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836423745",
            "telephone_number": "208-888-6077",
            "fax_number": "888-447-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 E MAGIC VIEW DR. SUITE 180",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83642",
            "telephone_number": "208-888-6077",
            "fax_number": "888-447-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKMAN",
        "first_name": "TODD",
        "middle_name": "STEVEN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2018-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.