DR. EDWARD REZA D.C. NPI 1003087156

NPI Information

  • NPI: 1003087156
  • Provider Name: DR. EDWARD REZA, D.C.
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Individual
  • Address: 8631 W ARDENE ST
    BOISE, ID
    ZIP 83709
  • Phone: (208) 629-1904

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NPI Details

DR. Edward Reza, D.C. is a chiropractor in Boise, ID with 23 years of experience. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Edward Reza, D.C. NPI is 1003087156. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOS ANGELES COLLEGE OF CHIROPRACTIC
Graduation Year:2002

The provider's business location address is:

8631 W ARDENE ST
BOISE, ID
ZIP 83709-601
Phone: (208) 629-1904
Fax: (208) 545-1846

The enumeration date for this NPI number is 3/17/2008 and was last updated on 10/9/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111NR0400XChiropractorRehabilitationDC28729CALIFORNIANo
2111N00000XChiropractor8161070IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DC28729OTHERCALIFORNIACHIROPRACTIC LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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