Valden J Ellis, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

860 Issued in ID

Practice address

745 W Bridge St
Suite F
Blackfoot, ID 83221-2000

Phone

(208) 782-9793

NPI assigned

May 18, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ellis Chiropractic IncGroup PAC ID 2466473582, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Ellis Chiropractic Inc

  • Chiropractor
  • Blackfoot, ID
  • NPI 1043406705
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1689627978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 W BRIDGE ST",
            "address_2": "SUITE F",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832212000",
            "telephone_number": "208-782-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 W BRIDGE ST",
            "address_2": "SUITE F",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832212000",
            "telephone_number": "208-782-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "VALDEN",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "C8604",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eagle River Organization, Ind
• East Idaho Anesthesia Associates PC
• Elizabeth Kenette Ellin, NBC-HIS
• Ellis Chiropractic Inc
• Sadie Ellis, DPT
• Debra Erramouspe, PA
• Travis Ray Evans, FNP
• Matthew J Fackrell, DO
• Family Dental of Blackfoot LLC
• Family Pathways

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.