Organization Active NPI

Dudley Chiropractic P.a.

  • Chiropractor
  • Boise, ID
National Provider Identifier
1467897405
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DUDLEY CHIROPRACTIC P.A.
Practice address
13965 W Chinden Blvd Ste 210
Boise, ID 83713-1457
Phone
(208) 344-3610
Fax
(208) 417-1888
NPI assigned
May 3, 2013
Last updated
Jun 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Authorized official

Name
Dr. Ryan Ballard Weed, DCNPI 1386966315
Title
President
Phone
(208) 266-7000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIA-868 ID
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

13965 W Chinden Blvd Ste 210
Boise, ID 83713-1457

Mailing address

13965 W Chinden Blvd Ste 210
Boise, ID 83713-1457
Phone (208) 266-7000

National Provider Directory

National Provider Directory

Locations

13965 W Chinden Blvd
Boise, ID 83713
Phone (208) 266-7000

13965 W Chinden Blvd
Ste 210
Boise, ID 83713
Phone (208) 344-3610

404 E Parkcenter Blvd
Boise, ID 83706
Phone (208) 344-3610

Practitioners & affiliated clinicians

Practitioners 1

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": "1367539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1467897405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13965 W CHINDEN BLVD STE 210",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837131457",
            "telephone_number": "208-266-7000",
            "fax_number": "208-417-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13965 W CHINDEN BLVD STE 210",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837131457",
            "telephone_number": "208-344-3610",
            "fax_number": "208-417-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUDLEY CHIROPRACTIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-03",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "WEED",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "BALLARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-266-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-868",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.