Individual provider Active NPI

Jared D Hymas, DC

  • Chiropractor
  • Twin Falls, ID
National Provider Identifier
1386984557
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA 1541 Issued in ID
Practice address
1625 Addison Ave E
Twin Falls, ID 83301-5343
Phone
(208) 735-2442
NPI assigned
Feb 25, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 1541 ID Primary

Addresses

Primary practice location

1625 Addison Ave E
Twin Falls, ID 83301-5343

Mailing address

1625 Addison Ave E
Twin Falls, ID 83301-5343
Phone (208) 735-2442

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140520002218 ID Practitioner - Chiropractic 1759513138 Reassigns benefits to 1 organization
Practice locations: Twin Falls, ID

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIA 1541IDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Jill'S Family Chiropractic Center, Inc Chiropractor CurrentSince Nov 1, 2020 Accepting new patients
Williams Chiropractic Pain Relief Clinic PC Chiropractor PastSince Sep 1, 1998 Accepting new patients
Pahrump Pain Free LLC Chiropractor Past Accepting new patients

Locations

788 Eastland Dr
#B
Twin Falls, ID 83301
Phone (208) 734-3030

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": "1361750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1386984557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 ADDISON AVE E",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015343",
            "telephone_number": "208-735-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 ADDISON AVE E",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015343",
            "telephone_number": "208-735-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYMAS",
        "first_name": "JARED",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA 1541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.