Michael Todd Daglen, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-1978 Issued in ID

Practice address

5246 N Eagle Rd
Boise, ID 83713-0945

Phone

(208) 939-3000

NPI assigned

Mar 31, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR, ID2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fletcher Chiropractic PLLCGroup PAC ID 1557532413, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Fletcher Chiropractic PLLC

  • Chiropractor
  • Boise, ID
  • NPI 1780899054
  Medicare reassignment Care Compare group NPD
• Center for Chiropractic & Pain Rehabilitation, LLC

  • Clinic/Center
  • Portland, OR
  • NPI 1215148192
  Medicare reassignment NPD

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1720377633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16080 HORIZON DR",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836078298",
            "telephone_number": "541-554-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5246 N EAGLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837130945",
            "telephone_number": "208-939-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGLEN",
        "first_name": "MICHAEL",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-31",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colette Elaine D'Ambrosio
• Marcos Daccarett, MD
• Sarah Maria Daccarett, M.D.
• Rebecca Dacus, LPC
• Anne Daggett
• Kevin Dagostino, MS, OTR/L
• Bhumika Dahal, LMSW
• Brandon Wayne Dahle, LPC, NCC
• Katherine Dahlgren, LPC
• Meghan Nicole Dahlin, MA LCPC LPC LAC LMHC

• 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 Jan 19, 2023; 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.