Benjamin Indiek, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-2002 Issued in ID

Practice address

3120 W Belltower Dr Ste 150
Meridian, ID 83646-7700

Phone

(208) 846-8898

NPI assigned

May 3, 2016

Last updated

Aug 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ben Indiek PLLC

  dba BridgeTower Chiropractic

  • Chiropractor
  • Meridian, ID
  • NPI 1609608298
  Medicare reassignment NPD Authorized official
• Active Living Chiropractic & Wellness LLC

  dba Active Living Chiropractic and Wellness

  • Chiropractor
  • Boise, ID
  • NPI 1316415623
  NPD
• Dr. Scott H Gibbons and Debra F Gibbons Inc

  dba Bridgetower Chiropractic

  • Chiropractor
  • Meridian, ID
  • NPI 1821178559
  NPD

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1467807982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 W BELLTOWER DR STE 150",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836467700",
            "telephone_number": "208-846-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 W BELLTOWER DR STE 150",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836467700",
            "telephone_number": "208-846-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INDIEK",
        "first_name": "BENJAMIN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-03",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-2002",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05773",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2016004526",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Ilebemhe Imonigie
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• Elliet Ingram
• Marissa Ingram, DPT
• Nanci E Ingram
• Initial Point Family Medicine PLLC

• Chiropractor in Meridian, ID
• Providers in Meridian, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.