Active NPI
William Bardon Higgins, DC
- Chiropractor
- Coeur D'Alene, ID
National Provider Identifier
1194837245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIA982
- Practice address
- 850 W. Ironwood Dr Suite 102
Coeur D'Alene, ID 83814 - Phone
- (208) 966-9376
- Fax
- (208) 966-5756
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIA982 | ID | Primary |
Addresses
Primary practice location
850 W. Ironwood Dr Suite 102
Coeur D'Alene, ID 83814
Mailing address
850 W. Ironwood Dr Suite 102
Coeur D'Alene, ID 83814
Phone (208) 777-7463
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C4322 | Other | ID | BLUE CROSS OF ID |
| 10148527 | Other | ID | BLUE SHIELD REGENCE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| CHIA982 | ID | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Integrated Health, LLP | Current | Accepting new patients |
Locations
1250 N Northwood Center Ct
Ste B
Coeur D Alene, ID 83814
Phone (208) 666-0357
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Coeur D'Alene, ID
- NPI 1306487517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1194837245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 W. IRONWOOD DR SUITE 102",
"city": "COEUR D'ALENE",
"state": "ID",
"postal_code": "83814",
"telephone_number": "208-777-7463",
"fax_number": "208-777-9659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 W. IRONWOOD DR SUITE 102",
"city": "COEUR D'ALENE",
"state": "ID",
"postal_code": "83814",
"telephone_number": "208-966-9376",
"fax_number": "208-966-5756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIGGINS",
"first_name": "WILLIAM",
"middle_name": "BARDON",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA982",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF ID",
"identifier": "C4322",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD REGENCE",
"identifier": "10148527",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coeur D'Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.