Organization Active NPI

Energetic Health Systems LLC

Doing business as Energetic

  • Chiropractor
  • Boise, ID
National Provider Identifier
1467853366
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-1421 Issued in ID
Legal business name
ENERGETIC HEALTH SYSTEMS LLC
Doing business as
Energetic
Practice address
1003 N Orchard St
Boise, ID 83706-2231
Phone
(208) 376-3113
NPI assigned
Sep 10, 2014
Last updated
Sep 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

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

Authorized official

Name
Devin Orton, DCNPI 1255641734
Title
Owner
Phone
(208) 871-9095

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
Chiropractor 111N00000X CHIA-1421 ID Primary

Addresses

Primary practice location

1003 N Orchard St
Boise, ID 83706-2231

Mailing address

1003 N Orchard St
Boise, ID 83706-2231

Other names 1

  • Energetic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141110001232 ID Part B Supplier - Clinic/Group Practice 3971725896 Receives reassigned benefits from 1 practitioner
Practice locations: Meridian, ID

National Provider Directory

National Provider Directory

Locations

1899 E Overland Rd
Meridian, ID 83642
Phone (208) 376-3113

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1467853366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 N ORCHARD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837062231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 N ORCHARD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837062231",
            "telephone_number": "208-376-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENERGETIC HEALTH SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "ORTON",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-871-9095",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Energetic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 10, 2014; 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.