Individual provider Active NPI

Austin Diffey, DC

  • Chiropractor
  • Meridian, ID
National Provider Identifier
1285400291
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-2383 Issued in ID
Practice address
1560 N Crestmont Dr Ste E
Meridian, ID 83642-2178
Phone
(208) 288-1776
NPI assigned
Nov 30, 2023
Last updated
Nov 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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-2383 ID Primary

Addresses

Primary practice location

1560 N Crestmont Dr Ste E
Meridian, ID 83642-2178

Mailing address

2248 W Floating Feather Rd
Eagle, ID 83616-3506
Phone (208) 830-7899

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240112001288 ID Practitioner - Chiropractic 5294186300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Anacker Clinic of Chiropractic, P.C.Group PAC ID 9537111034, 2 clinicians

Practice addresses (Care Compare)

300 W Main St
Suite 103
Boise, ID 83702-7725
Phone (208) 288-1776

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anacker Clinic of Chiropractic, P.C. Chiropractor CurrentSince Dec 5, 2023 Accepting new patients

Locations

300 W Main St
Ste 103
Boise, ID 83702
Phone (208) 287-2299

1560 N Crestmont Dr
Ste E
Meridian, ID 83642
Phone (208) 288-1776

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, 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": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1285400291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2248 W FLOATING FEATHER RD",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836163506",
            "telephone_number": "208-830-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 N CRESTMONT DR STE E",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422178",
            "telephone_number": "208-288-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIFFEY",
        "first_name": "AUSTIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-2383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.