Active NPI
Kendrick L. Tweedt, D.C., C.C.S.P.
- Chiropractor
- Boise, ID
National Provider Identifier
1528142007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIA732
- Practice address
- 8752 W Overland Rd
Suite 110
Boise, ID 83709-1604 - Phone
- (208) 323-2833
- Fax
- (208) 323-2834
- NPI assigned
- Oct 24, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIA732 | CA | Primary |
Addresses
Primary practice location
8752 W Overland Rd
Suite 110
Boise, ID 83709-1604
Mailing address
8752 W Overland Rd
Suite 110
Boise, ID 83709-1604
Phone (208) 323-2833
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 |
|---|---|---|---|
| CHIA732 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Klena Chiropractic Clinic | Chiropractor | Past | Accepting new patients |
| Idaho Chiropractic Group, PLLC | Chiropractor | Past | Accepting new patients |
| Shawn a Rudkin & Associates P C | Chiropractor | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Chiropractor
- Boise, ID
- NPI 1427242734
-
- Chiropractor
- Boise, ID
- NPI 1639280712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528142007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8752 W OVERLAND RD",
"address_2": "SUITE 110",
"city": "BOISE",
"state": "ID",
"postal_code": "837091604",
"telephone_number": "208-323-2833",
"fax_number": "208-323-2834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8752 W OVERLAND RD",
"address_2": "SUITE 110",
"city": "BOISE",
"state": "ID",
"postal_code": "837091604",
"telephone_number": "208-323-2833",
"fax_number": "208-323-2834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TWEEDT",
"first_name": "KENDRICK",
"middle_name": "L.",
"credential": "D.C., C.C.S.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "CHIA732",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.