Active NPI
Robert A Meyer, D.C.
- Chiropractor
- Hayden, ID
National Provider Identifier
1205857034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIA1154
- Practice address
- 21 W Commerce Dr
Suite B
Hayden, ID 83835-9289 - Phone
- (208) 772-4545
- NPI assigned
- Jul 21, 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 | CHIA1154 | ID | Primary |
Addresses
Primary practice location
21 W Commerce Dr
Suite B
Hayden, ID 83835-9289
Mailing address
100 W Southlake Blvd
Ste 410
Southlake, TX 76092-6166
Phone (208) 772-4545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
100 W Southlake Blvd
Suite 410
Southlake, TX 76092-6166
Phone (817) 310-6604
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIA1154 | ID | MD | Chiropractor |
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.
-
- Multi-Specialty Clinic/Center
- Southlake, TX
- NPI 1730664657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490572800000",
"number": "1205857034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W SOUTHLAKE BLVD",
"address_2": "STE 410",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760926166",
"telephone_number": "208-772-4545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 W COMMERCE DR",
"address_2": "SUITE B",
"city": "HAYDEN",
"state": "ID",
"postal_code": "838359289",
"telephone_number": "208-772-4545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "ROBERT",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2017-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA1154",
"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 Mar 27, 2017; 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.