Steven Wayne Hulse, DC
Individual provider Active NPI Chiropractor · Blackfoot, ID
NPI 1093474355 · NPPES record last updated Sep 4, 2025
Key facts
- NPI
- 1093474355
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CHIA-2141 (ID)
- Practice address
- 1395 NW Main St
Blackfoot, ID 83221-3936 - Phone
- (208) 785-0270
- NPI assigned
- Dec 14, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Restoration Chiropractic LLC
Practice addresses (Care Compare)
1395 NW Main St
Blackfoot, ID 83221-3936
Phone (208) 785-0270
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220607000600 | ID | Practitioner - Chiropractic | 6103204144 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIA-2141 | ID | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restoration Chiropractic LLC | Chiropractor | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIA-2141 | ID | Yes |
Addresses
Primary practice location
1395 NW Main St
Blackfoot, ID 83221-3936
Mailing address
1395 NW Main St
Blackfoot, ID 83221-3936
NPI Registry JSON
{
"created_epoch": "1639440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756944000000",
"number": "1093474355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1395 NW MAIN ST",
"city": "BLACKFOOT",
"state": "ID",
"postal_code": "832213936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1395 NW MAIN ST",
"city": "BLACKFOOT",
"state": "ID",
"postal_code": "832213936",
"telephone_number": "208-785-0270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULSE",
"first_name": "STEVEN",
"middle_name": "WAYNE",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-14",
"last_updated": "2025-09-04",
"certification_date": "2025-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA-2141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blackfoot, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.