Daniel M Pewe DC PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

CHIA-724 Issued in ID

Legal business name

DANIEL M PEWE DC PC

Practice address

288 Highway 16 Ste 101
Emmett, ID 83617-5082

Phone

(208) 365-2225

NPI assigned

Apr 23, 2008

Last updated

Dec 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Michael Pewe, DCNPI 1922012954

Title

President

Phone

(208) 365-2225

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Michael Pewe, DC

  • Chiropractor
  • Emmett, ID
  • NPI 1922012954
  Medicare reassignment NPD Authorized official
• Stephanie Kay Smith, LCSW

  • Clinical Social Worker
  • Emmett, ID
  • NPI 1770076481
  NPD (past)

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1487829107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 HIGHWAY 16 STE 101",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836175082",
            "telephone_number": "208-365-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 HIGHWAY 16 STE 101",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836175082",
            "telephone_number": "208-365-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL M PEWE DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "PEWE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-365-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "ID",
            "license": "CHIA-724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Emmett, ID
• Providers in Emmett, ID by specialty
• Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.