Jeremiah Lee Tibbitts, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034810 Issued in WA

Practice address

7149 W Emerald St
Boise, ID 83704-8620

Phone

(425) 394-3991

NPI assigned

Aug 29, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Strickland Family Chiropractic PAGroup PAC ID 3072777846, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Strickland Family Chiropractic, PA

  • Chiropractor
  • Meridian, ID
  • NPI 1841378957
  Medicare reassignment Care Compare group NPD
• Olsen Chiropractic and Performance Enhancement

  • Chiropractor
  • Nampa, ID
  • NPI 1912221938
  NPD

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1053505396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7149 W EMERALD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048620",
            "telephone_number": "425-394-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7149 W EMERALD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048620",
            "telephone_number": "425-394-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIBBITTS",
        "first_name": "JEREMIAH",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-29",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thrive Community Services, LLC
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• Lori Throckmorton, LCSW
• Nicole L Thurston, MD
• Sara Thurston, AUD
• Brook Rose Tiddens, CNM
• Tides Treatment Services
• Tidwell Social Work Services and Consulting, Inc.
• Tidwell Social Work Services and Consulting, Inc.
• Kathy Matlock Tidwell, LCSW

• Chiropractor in Boise, ID
• Providers in Boise, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.