Individual provider Active NPI

Kasey J Griffith, DC

  • Chiropractor
  • Meridian, ID
National Provider Identifier
1861021875
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-2011 Issued in ID
Practice address
2857 S Meridian Rd Ste 100
Meridian, ID 83642-7960
Phone
(208) 888-5858
Fax
(208) 884-1508
NPI assigned
Apr 2, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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-2011 ID Primary

Addresses

Primary practice location

2857 S Meridian Rd Ste 100
Meridian, ID 83642-7960

Mailing address

2857 S Meridian Rd Ste 100
Meridian, ID 83642-7960
Phone (208) 888-5858

Other identifiers 1

IdentifierTypeStateIssuer
CHIA-2011OtherIDSTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200424000146 ID Practitioner - Chiropractic 4486084977 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Chiropractic Clinic LLC Chiropractor CurrentSince Apr 20, 2020 Accepting new patients

Locations

2857 S Meridian Rd
#100
Meridian, ID 83642
Phone (208) 887-4747

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": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1861021875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2857 S MERIDIAN RD STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427960",
            "telephone_number": "208-888-5858",
            "fax_number": "208-884-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2857 S MERIDIAN RD STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427960",
            "telephone_number": "208-888-5858",
            "fax_number": "208-884-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "KASEY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-02",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-2011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "CHIA-2011",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.