Boulevard Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BOULEVARD CHIROPRACTIC

Practice address

5216 Cleveland Blvd Ste G
Caldwell, ID 83607-8124

Phone

(208) 899-7323

Fax

(208) 402-5911

NPI assigned

Apr 25, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Gib Hein, D.C.

Title

Owner

Phone

(208) 899-7323

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

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

{
    "created_epoch": "1745539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1013705664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5216 CLEVELAND BLVD STE G",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836078124",
            "telephone_number": "208-899-7323",
            "fax_number": "208-402-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5216 CLEVELAND BLVD STE G",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836078124",
            "telephone_number": "208-899-7323",
            "fax_number": "208-402-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULEVARD CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-25",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "HEIN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "GIB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-899-7323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rita Boman, RN
• Daniel Bonilla, CRNA
• Phares L Book, PSY.D,LPC
• Timothy Curtis Borup, MD
• Chad Boughey, PHARMD
• Bow Creek Recovery Center
• Suzanne Marie Bowen Craft, LPC, NCC
• Michael F Bowers, M.A., LPC
• Lyndon C Box, MD
• Sheryl S Boyd

• Chiropractor in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.