Organization Active NPI

Accident Recovery Clinic, LLC

  • Surgery Physician
  • Meridian, ID
National Provider Identifier
1346915428
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
ACCIDENT RECOVERY CLINIC, LLC
Practice address
4604 N Penngrove Way # 100
Meridian, ID 83646-7442
Phone
(801) 697-6006
Fax
(385) 786-8987
NPI assigned
Aug 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Authorized official

Name
Mr. Ian M. Dawe, APRNNPI 1467978064
Title
Member
Phone
(801) 318-8869

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

4604 N Penngrove Way # 100
Meridian, ID 83646-7442

Mailing address

1971 N 700 W.
Lindon, UT 84042
Phone (801) 697-6006

National Provider Directory

National Provider Directory

Locations

4604 N Penngrove Way
#100
Meridian, ID 83646
Phone (208) 992-3324

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1346915428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1971 N 700 W.",
            "city": "LINDON",
            "state": "UT",
            "postal_code": "84042",
            "telephone_number": "801-697-6006",
            "fax_number": "385-786-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4604 N PENNGROVE WAY # 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836467442",
            "telephone_number": "801-697-6006",
            "fax_number": "385-786-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCIDENT RECOVERY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-11",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "DAWE",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "801-318-8869",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "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 Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.