Individual provider Active NPI

Hans Konrad Steidl, D.C.

  • Chiropractor
  • Sandpoint, ID
National Provider Identifier
1003294281
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-1655 Issued in ID
Practice address
1301 N Division Ave
Sandpoint, ID 83864-8268
Phone
(208) 265-0610
Fax
(208) 265-9192
NPI assigned
May 8, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIA-1655 ID Primary

Addresses

Primary practice location

1301 N Division Ave
Sandpoint, ID 83864-8268

Mailing address

20 Panorama Ridge Rd
Sandpoint, ID 83864-8366
Phone (510) 427-9600

Other practice location 1

1205 Highway 2
Ste 304B
Sandpoint, ID 83864-2740
Phone (208) 263-9536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIA-1655IDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mihin Chiropractic Clinic, PLLC Chiropractor Past Accepting new patients
Manninen PLLC Chiropractor PastSince Jun 7, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1003294281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PANORAMA RIDGE RD",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838648366",
            "telephone_number": "510-427-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N DIVISION AVE",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838648268",
            "telephone_number": "208-265-0610",
            "fax_number": "208-265-9192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1205 HIGHWAY 2",
            "address_2": "STE 304B",
            "address_purpose": "LOCATION",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838642740",
            "country_code": "US",
            "telephone_number": "208-263-9536",
            "fax_number": "208-441-2229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEIDL",
        "first_name": "HANS",
        "middle_name": "KONRAD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-08",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandpoint, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.