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Northern Lakes Chiropractic Clinic, P.C.

Chiropractor in Ponderay, ID · enumerated 2008 · authorized official Ryan Leisy, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1710156443

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Registry record

Entity type Organization (Type 2)
Legal business name Northern Lakes Chiropractic Clinic, P.C.
Practice address 30544 Highway 200 Ste 330, Ponderay, ID, 83852
Fax (208) 227-8313
Enumeration date Feb 27, 2008
Last updated in NPPES Mar 29, 2018

Taxonomy & classification

111N00000X Chiropractor Chiropractic Providers · License CHIA-1250 (ID) Primary

Authorized official

Name Ryan Leisy
Title Ceo

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-03-29. Verify at npiregistry.cms.hhs.gov.
Where is Northern Lakes Chiropractic Clinic, P.C. located?
The practice location on file with NPPES is in Ponderay, ID.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-03-29.