Daniel K Hinckley MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

M-5686 Issued in ID

Legal business name

DANIEL K HINCKLEY MD PA

Practice address

2065 E 17TH St
St a
Idaho Falls, ID 83404-8042

Phone

(208) 522-1764

Fax

(208) 522-1766

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Daniel K Hinckley, MD

Title

President

Phone

(208) 522-1764

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1518035336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2065 E 17TH ST",
            "address_2": "SUITE A",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048042",
            "telephone_number": "208-522-1764",
            "fax_number": "208-522-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 E 17TH ST",
            "address_2": "ST A",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048042",
            "telephone_number": "208-522-1764",
            "fax_number": "208-522-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL K HINCKLEY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "HINCKLEY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-522-1764",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "ID",
            "license": "M-5686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002665500",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clark R Daines, MD
• Dallco Orthopaedics and Sports Medicine
• Audrey Dalley, LPN
• Jason Dallimore, LPC
• Jason Dalling, M.D.
• Zachary Lucas Daniels
• Kathleen Dannehl
• Daron L. Scherr M.D. P. a.
• Craig Darrington, DDS
• Katrina M Dasenbrock, LCSW

• Specialist in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.