Michael D. Rae, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-1332 Issued in ID

Practice address

1843 S Broadway Ave Ste 203a
Boise, ID 83706-3862

Phone

(208) 345-3630

Fax

(208) 345-3640

NPI assigned

Feb 4, 2010

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Dr. Michael D. Rae, DC, PLLC

  • Chiropractor
  • Boise, ID
  • NPI 1437877321
  Medicare reassignment NPD Authorized official
• Michael Rae Chiropractic PLLC

  • Chiropractor
  • Boise, ID
  • NPI 1265878136
  NPD (past) Authorized official

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1194057802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1843 S. BROADWAY AVE, SUITE 203A",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837063503",
            "telephone_number": "208-985-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1843 S BROADWAY AVE STE 203A",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837063862",
            "telephone_number": "208-345-3630",
            "fax_number": "208-345-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAE",
        "first_name": "MICHAEL",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-04",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "15614453",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Radnovich, DO
• Rae of Sunshine Therapy LLC
• Brian J Rae, D.C.
• Donald D Rae, D.C.
• Erin M Rae, R.D.
• Raelynn Grant Counseling
• Kelly Ragland, RN
• Lee Michael Ragsdale, D.O.
• Rahmana Elizabeth Sayre
• Suzette Rahmann, LMSW

• 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 20, 2023; 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.