Active NPI
Joseph William Betz, DC
- Chiropractor
- Boise, ID
National Provider Identifier
1760447262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIA-9777
- Practice address
- 8631 W Ardene St
Boise, ID 83709-2601 - Phone
- (208) 629-1904
- Fax
- (208) 545-1846
- NPI assigned
- Apr 18, 2006
- Sex
- Male
- Sole proprietor
- No
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 | CHIA-9777 | ID | Primary |
Addresses
Primary practice location
8631 W Ardene St
Boise, ID 83709-2601
Mailing address
8631 W Ardene St
Boise, ID 83709-2601
Phone (208) 629-1904
Other practice location 1
206 S Midland Blvd
Nampa, ID 83686-2602
Phone (208) 467-1975
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2001
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
8631 W Ardene St
Boise, ID 83709-2601
Phone (208) 830-3034
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIA-9777 | ID | MD | Chiropractor |
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.
-
- Chiropractor
- Boise, ID
- NPI 1811183023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651622400000",
"number": "1760447262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8631 W ARDENE ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837092601",
"telephone_number": "208-629-1904",
"fax_number": "208-545-1846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8631 W ARDENE ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837092601",
"telephone_number": "208-629-1904",
"fax_number": "208-545-1846"
}
],
"practiceLocations": [
{
"address_1": "206 S Midland Blvd",
"address_purpose": "LOCATION",
"city": "Nampa",
"state": "ID",
"postal_code": "836862602",
"country_code": "US",
"telephone_number": "208-467-1975",
"fax_number": "208-475-6024",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BETZ",
"first_name": "JOSEPH",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2022-05-04",
"certification_date": "2022-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA-9777",
"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 May 4, 2022; 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.