Individual provider Active NPI

Ryan Ballard Weed, D.C.

  • Chiropractor
  • Meridian, ID
National Provider Identifier
1386966315
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-1403 Issued in ID
Practice address
3163 E Fairview Ave Ste 155
Meridian, ID 83642-8102
Phone
(208) 890-6303
NPI assigned
Feb 17, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIA-1403 ID Primary

Addresses

Primary practice location

3163 E Fairview Ave Ste 155
Meridian, ID 83642-8102

Mailing address

13965 W Chinden Blvd
Boise, ID 83713-1457
Phone (208) 266-7000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140902002095 ID Practitioner - Chiropractic 1456579515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bonfire Chiropractic PLLCGroup PAC ID 6800248899, 2 clinicians

Practice addresses (Care Compare)

6291 N Fox Run Way
Suite 110
Meridian, ID 83646-1707
Phone (208) 266-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIA-1403IDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bonfire Chiropractic PLLC Chiropractor CurrentSince Nov 21, 2023 Accepting new patients
Live Well Chiropractic P.C. Chiropractor Past Accepting new patients
Back in Balance Chiropractic Chiropractor Past Accepting new patients
The Chiropractor at Castlebury Chiropractor Past Accepting new patients
Ellison Family Chiropractic Chiropractor PastSince Nov 24, 2025 Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1386966315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13965 W CHINDEN BLVD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837131457",
            "telephone_number": "208-266-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3163 E FAIRVIEW AVE STE 155",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428102",
            "telephone_number": "208-890-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEED",
        "first_name": "RYAN",
        "middle_name": "BALLARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-17",
        "last_updated": "2023-04-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1403",
            "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 Apr 3, 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.