Noble L Lindberg III, NOBLE LINDBERG

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5491950-1202 Issued in UT

Practice address

2404 S Orchard St
Ste 800
Boise, ID 83705-6719

Phone

(208) 345-2222

Fax

(208) 620-2215

NPI assigned

Feb 15, 2011

Last updated

Aug 9, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Noble L Lindberg III Professional name

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Noble Lindberg LLC

  dba Elevated Chiropractic

  • Chiropractor
  • Meridian, ID
  • NPI 1407578628
  Medicare reassignment NPD Authorized official
• Mark Henry Radandt

  • Chiropractor
  • American Fork, UT
  • NPI 1871752642
  NPD (past)

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1508163254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 S ORCHARD ST",
            "address_2": "STE 800",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837056719",
            "telephone_number": "208-345-2222",
            "fax_number": "208-620-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 S ORCHARD ST",
            "address_2": "STE 800",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837056719",
            "telephone_number": "208-345-2222",
            "fax_number": "208-620-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDBERG",
        "first_name": "NOBLE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "NOBLE LINDBERG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-15",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "5491950-1202",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1545",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "U000073667",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NOBLE",
            "last_name": "LINDBERG",
            "middle_name": "L",
            "prefix": "DR.",
            "suffix": "III",
            "credential": "NOBLE LINDBERG D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lincare Inc.
• Jack H Lincks, DDS, MS
• Lincoln Counseling LLC
• Caroline Lincoln, LPC
• Gwen Aileen Lindberg, PA-C
• Suzannah Lindberg
• Bryan Lindemood, LMSW
• Derek Linderman, MD
• Lindie Borton M.D. PA
• Lindley Kessler Pediatric Occupational Therapy Source

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; 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.