OrganizationActive
Idaho Spine Clinic LLC
NPI 1679805535 · Chiropractor · Malad City, ID
Idaho Spine Clinic LLC is a Chiropractor organization in Malad City, ID (NPI 1679805535).
Provider details
- NPI number
- 1679805535
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Ronald Perry, Doctor of Chiropractic(208) 766-8111
- License
- CHIA-837 (ID)
Specialties & taxonomies
Chiropractic Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
148 E 50 S
Malad City, ID 83252-1368
Phone: (208) 766-8111
Fax: (208) 766-8111
Street-level locationGet directions
Mailing address
Po Box 69
Malad City, ID 83252-0069
Registry dates
- Enumerated
- 2010-02-03
- Last updated
- 2010-02-03
Frequently asked questions
- What is Idaho Spine Clinic LLC's NPI number?
- Idaho Spine Clinic LLC's National Provider Identifier (NPI) is 1679805535, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Idaho Spine Clinic LLC?
- Idaho Spine Clinic LLC is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Idaho Spine Clinic LLC located?
- Idaho Spine Clinic LLC's practice location on file with NPPES is 148 E 50 S, Malad City, ID 83252-1368.
- What is Idaho Spine Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Idaho Spine Clinic LLC is (208) 766-8111.
- Who is the authorized official for Idaho Spine Clinic LLC?
- The authorized official listed on Idaho Spine Clinic LLC's NPPES record is Ronald Perry, Doctor of Chiropractic. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Idaho Spine Clinic LLC's NPI active?
- Yes — Idaho Spine Clinic LLC's NPI (1679805535) is active in the NPPES registry as of the last update on 2010-02-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.