Organization Active NPI

Noble Lindberg LLC

  • Chiropractor
  • Meridian, ID
National Provider Identifier
1407578628
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NOBLE LINDBERG LLC
Practice address
3537 E Overland Rd
Meridian, ID 83642-6757
Phone
(801) 787-7451
NPI assigned
Sep 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Authorized official

Name
Dr. Noble Lindberg, DCNPI 1508163254
Title
Owner
Phone
(801) 787-7451

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3537 E Overland Rd
Meridian, ID 83642-6757

Mailing address

2905 N Lancer Ave
Meridian, ID 83646-6358
Phone (801) 787-7451

Other identifiers 1

IdentifierTypeStateIssuer
1508163254MedicaidUT

Other names 1

  • Elevated Chiropractic Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL elevatedchiropractic@gmail.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221228001634 ID Part B Supplier - Clinic/Group Practice 1456721901 Receives reassigned benefits from 1 practitioner
Practice locations: Meridian, ID

National Provider Directory

National Provider Directory

Locations

3537 E Overland Rd
Meridian, ID 83642
Phone (208) 370-5989

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": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1407578628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 N LANCER AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466358",
            "telephone_number": "801-787-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3537 E OVERLAND RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426757",
            "telephone_number": "801-787-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLE LINDBERG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "LINDBERG",
        "authorized_official_first_name": "NOBLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-787-7451",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508163254",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "elevatedchiropractic@gmail.com",
            "affiliation": "N",
            "address_1": "3537 E Overland Rd",
            "city": "Meridian",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836426757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Elevated Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.