Individual provider Active NPI

Paul Hyer, D.C

  • Chiropractor
  • Bonners Ferry, ID
National Provider Identifier
1164418562
Registry record updated Aug 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-1746 Issued in ID
Practice address
516597 Highway 95
Bonners Ferry, ID 83805-5067
Phone
(208) 274-5113
NPI assigned
Sep 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 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-1746 ID Primary

Addresses

Primary practice location

516597 Highway 95
Bonners Ferry, ID 83805-5067

Mailing address

516597 Highway 95
Bonners Ferry, ID 83805-5067
Phone (208) 274-5113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191115002492 ID Practitioner - Chiropractic 0648445643 Reassigns benefits to 1 organization
Practice locations: Bonners Ferry, ID

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6541 Main St
Bonners Ferry, ID 83805-8521
Phone (208) 267-7246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24797CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hyer Chiropractic Chiropractor CurrentSince Jul 1, 2021 Accepting new patients
Auburn Crest Hospice, LLC Past Accepting new patients
Jeffrey Ross Gunter MD Inc PastSince Oct 10, 2011 Accepting new patients

Locations

6541 Main St
Bonners Ferry, ID 83805
Phone (208) 267-0579

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566604800000",
    "number": "1164418562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516597 HIGHWAY 95",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838055067",
            "telephone_number": "208-274-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516597 HIGHWAY 95",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838055067",
            "telephone_number": "208-274-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYER",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2019-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonners Ferry, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.