OrganizationActive
Evergreen Wellness Group LLC
NPI 1477820215 · Chiropractor · Meridian, ID
Provider details
- NPI number
- 1477820215
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Matthew Hales, Owner(208) 895-8595
- License
- CHIA-1153 (ID)
Specialties & taxonomies
Chiropractic Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
1640 W Cherry Ln
Suite 130
Meridian, ID 83642-8187
Phone: (208) 895-8595
Fax: (208) 895-8594
Street-level locationGet directions
Mailing address
1640 W Cherry Ln
Meridian, ID 83642-8187
Other names (DBA / former)
- Doing business as
- Evergreen Chiropractic
Registry dates
- Enumerated
- 2011-11-22
- Last updated
- 2011-11-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.