Prime Sports Med
NPI 1407354574 · Chiropractor · Nampa, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1407354574
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Jacob Bower, Chiropractor(208) 466-0200
Specialties & taxonomies
Chiropractic Providers
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 701 Arthur StCaldwell, ID 83605-3723Phone: (208) 999-6233Fax: (208) 463-0649
- 304 12th Ave RdNampa, ID 83686-5015Phone: (208) 466-0200Fax: (208) 463-0649
Registry dates
- Enumerated
- 2018-01-24
- Last updated
- 2021-05-25
- Certified
- 2021-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.