Individual provider Active NPI

Kevin Asplund, DC

  • Rehabilitation Chiropractor
  • Eagle, ID
National Provider Identifier
1528839610
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
CHIA-2377 Issued in ID
Practice address
36 N Echohawk LN Ste 104B
Eagle, ID 83616-4013
Phone
(208) 968-6700
NPI assigned
Jan 9, 2024
Last updated
Jan 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X CHIA-2377 ID Primary

Addresses

Primary practice location

36 N Echohawk LN Ste 104B
Eagle, ID 83616-4013

Mailing address

36 N Echohawk LN Ste 104B
Eagle, ID 83616-4013
Phone (208) 968-6700

Other practice location 1

3750 E Pewter Falls St Ste 120
Meridian, ID 83642-5298
Phone (208) 968-6700

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

LicenseStateTypeSpecialty
CHIA-2377IDMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Roam Ind LLC Rehabilitation CurrentSince Mar 11, 2025 Accepting new patients
Meridian Chiropractic Clinic LLC Past Accepting new patients

Locations

36 N Echohawk Ln
Ste 104B
Eagle, ID 83616
Phone (208) 584-5254

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1528839610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 N ECHOHAWK LN STE 104B",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836164013",
            "telephone_number": "208-968-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 N ECHOHAWK LN STE 104B",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836164013",
            "telephone_number": "208-968-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3750 E Pewter Falls St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836425298",
            "country_code": "US",
            "telephone_number": "208-968-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASPLUND",
        "first_name": "KEVIN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "ID",
            "license": "CHIA-2377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.