Active NPI
Tyler S Hurst, D.C.
- Chiropractor
- Burley, ID
National Provider Identifier
1407948169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIA-1213
- 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
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 | 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hurst Inc | Chiropractor | Current | 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.