Individual provider Active NPI

Brian Pfaff, CHIROPRACTOR

  • Rehabilitation Chiropractor
  • Boise, ID
National Provider Identifier
1598836843
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
CHIA1065 Issued in ID
Practice address
1070 N Curtis Rd Ste 110
Boise, ID 83706-1248
Phone
(208) 291-5566
Fax
(208) 789-2282
NPI assigned
Nov 10, 2006
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIA1065 ID
Rehabilitation Chiropractor 111NR0400X CHIA1065 ID Primary

Addresses

Primary practice location

1070 N Curtis Rd Ste 110
Boise, ID 83706-1248

Mailing address

1070 N Curtis Rd Ste 110
Boise, ID 83706-1248
Phone (208) 291-5566

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211123002508 ID Practitioner - Chiropractic 9234529736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1070 N Curtis Rd
Suite 110
Boise, ID 83706-1248
Phone (208) 291-5566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIA1065IDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pfaff Chiropractic & Rehabilitation PLLC Chiropractor CurrentSince Nov 1, 2021 Accepting new patients

Locations

1070 N Curtis Rd
Ste 110
Boise, ID 83706
Phone (208) 291-5566

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1598836843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 N CURTIS RD STE 110",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061248",
            "telephone_number": "208-291-5566",
            "fax_number": "208-789-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 N CURTIS RD STE 110",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061248",
            "telephone_number": "208-291-5566",
            "fax_number": "208-789-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFAFF",
        "first_name": "BRIAN",
        "credential": "CHIROPRACTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA1065",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "ID",
            "license": "CHIA1065",
            "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 Jan 9, 2024; 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.