Individual provider Active NPI

Joseph William Betz, DC

  • Chiropractor
  • Boise, ID
National Provider Identifier
1760447262
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-9777 Issued in ID
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

Updated by the provider on May 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20050208001041 ID Practitioner - Chiropractic 2163473059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Ideal HealthGroup PAC ID 6800847799, 4 clinicians

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

LicenseStateTypeSpecialty
CHIA-9777IDMDChiropractor

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": "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.

Verify at the official NPI Registry.