Individual provider Active NPI

Christopher Michael Hackett, D.C.

  • Chiropractor
  • Hayden, ID
National Provider Identifier
1154659415
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-2110 Issued in ID
Practice address
9321 N Government Way Ste D
Hayden, ID 83835-8263
Phone
(208) 719-9900
Fax
(208) 719-0818
NPI assigned
Nov 25, 2009
Last updated
Apr 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC25878 CA
Chiropractor 111N00000X CHIA-2110 ID Primary

Addresses

Primary practice location

9321 N Government Way Ste D
Hayden, ID 83835-8263

Mailing address

9321 N Government Way Ste D
Hayden, ID 83835-8263
Phone (208) 719-9900

Other practice location 1

1559 South Novato Blvd.
Suite E
Novato, CA 94947
Phone (415) 209-6880

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
DC25878CAMDChiropractor
CHIA-2110IDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
McKim Method Wellness PLLC Chiropractor CurrentSince Oct 2, 2022 Accepting new patients
Unlimited Health Chiropractic PastSince Mar 17, 2021 Accepting new patients

Locations

9321 N Government Way
Ste D
Hayden, ID 83835
Phone (208) 719-9900

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": "1259107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1154659415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9321 N GOVERNMENT WAY STE D",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358263",
            "telephone_number": "208-719-9900",
            "fax_number": "208-719-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9321 N GOVERNMENT WAY STE D",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358263",
            "telephone_number": "208-719-9900",
            "fax_number": "208-719-0818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1559 South Novato Blvd.",
            "address_2": "Suite E",
            "address_purpose": "LOCATION",
            "city": "Novato",
            "state": "CA",
            "postal_code": "94947",
            "country_code": "US",
            "telephone_number": "415-209-6880",
            "fax_number": "415-209-6884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HACKETT",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-25",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25878",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-2110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayden, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.