Active NPI
Mitchell Lee Jephson, D.C.
- Chiropractor
- Rigby, ID
National Provider Identifier
1235354135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIA-935
- Practice address
- 153 1/2 E Main St
Rigby, ID 83442-1417 - Phone
- (208) 745-1212
- NPI assigned
- Apr 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
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-935 | ID | Primary |
Addresses
Primary practice location
153 1/2 E Main St
Rigby, ID 83442-1417
Mailing address
P.O. Box 181
Rigby, ID 83442-0181
Phone (208) 745-1212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IDTPID001955 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101101000516 | ID | Practitioner - Chiropractic | 4880888189 | Practice locations: Rigby, ID |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
119 N State St
Suite 2
Rigby, ID 83442-1423
Phone (208) 745-1212
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIA-935 | ID | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762905600000",
"number": "1235354135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 181",
"city": "RIGBY",
"state": "ID",
"postal_code": "834420181",
"telephone_number": "208-745-1212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 1/2 E MAIN ST",
"city": "RIGBY",
"state": "ID",
"postal_code": "834421417",
"telephone_number": "208-745-1212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEPHSON",
"first_name": "MITCHELL",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-16",
"last_updated": "2025-11-12",
"certification_date": "2025-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA-935",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "IDTPID001955",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rigby, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.