Organization Active NPI

Healthy Habits Wellness Clinic Inc

  • Chiropractor
  • Meridian, ID
National Provider Identifier
1336273267
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-1089 Issued in ID
Legal business name
HEALTHY HABITS WELLNESS CLINIC INC
Practice address
14 S Baltic PL
Meridian, ID 83642-5935
Phone
(208) 887-4872
Fax
(208) 887-6331
NPI assigned
Mar 15, 2007
Last updated
Aug 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Authorized official

Name
Mr. Kimball T Lundahl, D.C.NPI 1760598478
Title
Chiropractor
Phone
(208) 887-4872

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X
Chiropractor 111N00000X CHIA-1089 ID Primary

Addresses

Primary practice location

14 S Baltic PL
Meridian, ID 83642-5935

Mailing address

14 S Baltic PL
Meridian, ID 83642-5935
Phone (208) 887-4872

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210917002302 ID Part B Supplier - Clinic/Group Practice 6406912997 Receives reassigned benefits from 2 practitioners
Practice locations: Meridian, ID

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D2255709Healthy Habits Wellness Clinic14 S Baltic PL, Meridian, ID 83642Certificate of waiverMar 15, 2028

National Provider Directory

National Provider Directory

Locations

14 S Baltic Pl
Meridian, ID 83642
Phone (208) 887-4872

27 E Fairview Ave
Meridian, ID 83642
Phone (208) 887-4872

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1336273267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 S BALTIC PL",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425935",
            "telephone_number": "208-887-4872",
            "fax_number": "208-887-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 S BALTIC PL",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425935",
            "telephone_number": "208-887-4872",
            "fax_number": "208-887-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY HABITS WELLNESS CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "LUNDAHL",
        "authorized_official_first_name": "KIMBALL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "208-887-4872",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1089",
            "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 Aug 20, 2026; 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.