Active NPI
Scott Regan Meissner, D.C.
- Chiropractor
- Boise, ID
National Provider Identifier
1447234620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIA-460
- Practice address
- 10159 W Overland Rd
Boise, ID 83709 - Phone
- (208) 322-0051
- NPI assigned
- Dec 1, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIA460-3 | ID | |
| Chiropractor | 111N00000X | CHIA-460 | ID | Primary |
Addresses
Primary practice location
10159 W Overland Rd
Boise, ID 83709
Mailing address
10159 W. Overland Rd
Boise, ID 83709
Phone (208) 322-0051
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010007462 | Other | ID | REGENCE OF IDAHO |
| C460-3 | Other | ID | BLUE CROSS OF IDAHO |
| 612716 | Other | ID | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIA-460 | ID | MD | Chiropractor |
| CHIA460-3 | ID | MD | Chiropractor |
| 460 | ID | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327449600000",
"number": "1447234620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10159 W. OVERLAND RD",
"city": "BOISE",
"state": "ID",
"postal_code": "83709",
"telephone_number": "208-322-0051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10159 W OVERLAND RD",
"city": "BOISE",
"state": "ID",
"postal_code": "83709",
"telephone_number": "208-322-0051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEISSNER",
"first_name": "SCOTT",
"middle_name": "REGAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-01",
"last_updated": "2012-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA460-3",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA-460",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE OF IDAHO",
"identifier": "000010007462",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF IDAHO",
"identifier": "C460-3",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "612716",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.