Individual provider Active NPI

Tyler S Hurst, D.C.

  • Chiropractor
  • Burley, ID
National Provider Identifier
1407948169
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-1213 Issued in ID
Practice address
1246 Oakley Ave
Burley, ID 83318-1840
Phone
(208) 678-8184
Fax
(208) 678-8164
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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-1213 ID Primary

Addresses

Primary practice location

1246 Oakley Ave
Burley, ID 83318-1840

Mailing address

1246 Oakley Ave
Burley, ID 83318-1840
Phone (208) 678-8184

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070417000340 ID Practitioner - Chiropractic 9133224314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1246 Oakley Ave
Burley, ID 83318-1840
Phone (208) 678-8184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hurst Inc Chiropractor CurrentSince Sep 18, 2006 Accepting new patients

Locations

2311 Park Ave
Ste 1
Burley, ID 83318
Phone (208) 678-8164

1246 Oakley Ave
#C
Burley, ID 83318

1246 Oakley Ave
Burley, ID 83318
Phone (208) 678-3893

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1407948169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1246 OAKLEY AVE",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833181840",
            "telephone_number": "208-678-8184",
            "fax_number": "208-678-8164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1246 OAKLEY AVE",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833181840",
            "telephone_number": "208-678-8184",
            "fax_number": "208-678-8164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURST",
        "first_name": "TYLER",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burley, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.