Individual provider Active NPI

Debra Anne Yaritz I, D.C.

  • Chiropractor
  • McCall, ID
National Provider Identifier
1407947831
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-770 Issued in ID
Practice address
337 Deinhard LN Ste a
McCall, ID 83638-4703
Phone
(208) 634-4878
Fax
(208) 634-2317
NPI assigned
Sep 28, 2006
Sex
Female
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-770 ID Primary

Addresses

Primary practice location

337 Deinhard LN Ste a
McCall, ID 83638-4703

Mailing address

3589 Ridge Dr
McCall, ID 83638-5405
Phone (208) 634-4878

Other identifiers 2

IdentifierTypeStateIssuer
000010146319OtherIDREGENCE BLUE SHIELD OF ID
C4264OtherIDBLUE CROSS OF IDAHO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160902000266 ID Practitioner - Chiropractic 2567758337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

106 E Park St
Suite 212
McCall, ID 83638-5068
Phone (208) 634-4878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Chiropractic PC Chiropractor PastSince Jun 1, 2005 Accepting new patients
Back in Motion, P.S. Chiropractor Past Accepting new patients

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1407947831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3589 RIDGE DR",
            "city": "MCCALL",
            "state": "ID",
            "postal_code": "836385405",
            "telephone_number": "208-634-4878",
            "fax_number": "208-634-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 DEINHARD LN STE A",
            "city": "MCCALL",
            "state": "ID",
            "postal_code": "836384703",
            "telephone_number": "208-634-4878",
            "fax_number": "208-634-2317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARITZ",
        "first_name": "DEBRA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD OF ID",
            "identifier": "000010146319",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "C4264",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McCall, 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.
  • 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.