Northern Lakes Chiropractic Clinic, P.C.
NPI 1710156443 · Chiropractor · Ponderay, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northern Lakes Chiropractic Clinic, P.C. is a Chiropractor organization in Ponderay, ID (NPI 1710156443).
Provider details
- NPI number
- 1710156443
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Ryan Leisy, Ceo(208) 265-1900
- License
- CHIA-1250 (ID)
Specialties & taxonomies
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Mailing address
Registry dates
- Enumerated
- 2008-02-27
- Last updated
- 2018-03-29
Frequently asked questions
- What is Northern Lakes Chiropractic Clinic, P.C.'s NPI number?
- Northern Lakes Chiropractic Clinic, P.C.'s National Provider Identifier (NPI) is 1710156443, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northern Lakes Chiropractic Clinic, P.C.?
- Northern Lakes Chiropractic Clinic, P.C. is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Northern Lakes Chiropractic Clinic, P.C. located?
- Northern Lakes Chiropractic Clinic, P.C.'s practice location on file with NPPES is 30544 Highway 200 Ste 330, Ponderay, ID 83852-5005.
- What is Northern Lakes Chiropractic Clinic, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Northern Lakes Chiropractic Clinic, P.C. is (208) 265-1900.
- Does Northern Lakes Chiropractic Clinic, P.C. accept Medicare?
- Northern Lakes Chiropractic Clinic, P.C. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Northern Lakes Chiropractic Clinic, P.C.?
- The authorized official listed on Northern Lakes Chiropractic Clinic, P.C.'s NPPES record is Ryan Leisy, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northern Lakes Chiropractic Clinic, P.C.'s NPI active?
- Yes — Northern Lakes Chiropractic Clinic, P.C.'s NPI (1710156443) is active in the NPPES registry as of the last update on 2018-03-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.