Organization Active NPI

One Life Chiropractic

  • Chiropractor
  • Caldwell, ID
National Provider Identifier
1447483516
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-1342 Issued in ID
Legal business name
ONE LIFE CHIROPRACTIC
Practice address
317 Happy Day Blvd
Suite 170
Caldwell, ID 83607-8115
Phone
(208) 459-6141
NPI assigned
Aug 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ryan Gib Hein, D.C.
Title
Doctor of Chiropractic
Phone
(208) 459-6141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIA-1342 ID Primary

Addresses

Primary practice location

317 Happy Day Blvd
Suite 170
Caldwell, ID 83607-8115

Mailing address

317 Happy Day Blvd
Suite 170
Caldwell, ID 83607-8115
Phone (208) 459-6141

Other identifiers 1

IdentifierTypeStateIssuer
808321800MedicaidID

National Provider Directory

National Provider Directory

Locations

317 Happy Day Blvd
Ste 170
Caldwell, ID 83607
Phone (208) 459-6141

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1447483516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 HAPPY DAY BLVD",
            "address_2": "SUITE 170",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836078115",
            "telephone_number": "208-459-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 HAPPY DAY BLVD",
            "address_2": "SUITE 170",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836078115",
            "telephone_number": "208-459-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE LIFE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-24",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "HEIN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "GIB",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "208-459-6141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "808321800",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.