Active NPI
Lee Erik Thompson, D.C.
- Chiropractor
- Boise, ID
National Provider Identifier
1114982006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIA-730
- Practice address
- 6727 W State St Ste 130
Boise, ID 83714-7423 - Phone
- (208) 853-2277
- NPI assigned
- Apr 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIA-730 | ID | Primary |
Addresses
Primary practice location
6727 W State St Ste 130
Boise, ID 83714-7423
Mailing address
6727 W State St Ste 130
Boise, ID 83714-7423
Phone (208) 853-2277
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010022893 | Other | ID | REGENCE |
| 002738600 | Medicaid | ID | |
| C-730-9 | Other | ID | BLUE CROSS |
Other names 1
- Healthy Creations
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIA-730 | ID | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sarah Wolverton | 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.
-
- Chiropractor
- Boise, ID
- NPI 1003162488
-
- Chiropractor
- Boise, ID
- NPI 1518022490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658102400000",
"number": "1114982006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6727 W STATE ST STE 130",
"city": "BOISE",
"state": "ID",
"postal_code": "837147423",
"telephone_number": "208-853-2277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6727 W STATE ST STE 130",
"city": "BOISE",
"state": "ID",
"postal_code": "837147423",
"telephone_number": "208-853-2277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "LEE",
"middle_name": "ERIK",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2022-07-18",
"certification_date": "2022-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA-730",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "000010022893",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002738600",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "C-730-9",
"state": "ID"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HEALTHY",
"last_name": "CREATIONS",
"code": "5",
"type": "Other Name"
}
]
}
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 Jul 18, 2022; 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.