Active NPI
Michael Wellness Ventures PLLC
- Chiropractor
- Eagle, ID
National Provider Identifier
1952196438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- MICHAEL WELLNESS VENTURES PLLC
- Practice address
- 1299 E Iron Eagle Dr Ste 130
Eagle, ID 83616-6869 - Phone
- (208) 582-3421
- NPI assigned
- Apr 14, 2025
- Last updated
- Apr 14, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dillon Jade Michael, DC
- Title
- Chiropractor
- Phone
- (208) 582-3421
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
1299 E Iron Eagle Dr Ste 130
Eagle, ID 83616-6869
Mailing address
7071 W Belhaven Dr
Boise, ID 83714-2477
National Provider Directory
National Provider DirectoryLocations
1299 E Iron Eagle Dr
Ste 130
Eagle, ID 83616
Phone (208) 922-6612
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Eagle, ID
- NPI 1619737335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744588800000",
"number": "1952196438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7071 W BELHAVEN DR",
"city": "BOISE",
"state": "ID",
"postal_code": "837142477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1299 E IRON EAGLE DR STE 130",
"city": "EAGLE",
"state": "ID",
"postal_code": "836166869",
"telephone_number": "208-582-3421"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL WELLNESS VENTURES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-14",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A",
"authorized_official_last_name": "MICHAEL",
"authorized_official_first_name": "DILLON",
"authorized_official_middle_name": "JADE",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "208-582-3421",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagle, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.