Individual provider Active NPI

Justin Mette, DC

  • Chiropractor
  • Twin Falls, ID
National Provider Identifier
1417420431
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2267 Issued in ID
Practice address
260 Falls Ave Ste a
Twin Falls, ID 83301-3370
Phone
(208) 254-5953
NPI assigned
Jan 3, 2019
Last updated
Jul 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 788 WY
Chiropractor 111N00000X 2267 ID Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

260 Falls Ave Ste a
Twin Falls, ID 83301-3370

Mailing address

260 Falls Ave Ste a
Twin Falls, ID 83301-3370
Phone (208) 254-5953

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240328003998 ID Practitioner - Chiropractic 7416299599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

260 Falls Ave
Suite a
Twin Falls, ID 83301-3370
Phone (208) 254-5953

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
788WYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Back in Balance Chiropractic, LLC Chiropractor CurrentSince Jan 28, 2024 Accepting new patients

Locations

260 Falls Ave
Ste A
Twin Falls, ID 83301
Phone (208) 254-5953

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1417420431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 FALLS AVE STE A",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013370",
            "telephone_number": "208-254-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 FALLS AVE STE A",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013370",
            "telephone_number": "208-254-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METTE",
        "first_name": "JUSTIN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-03",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WY",
            "license": "788",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "2267",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.