Active NPI
Kurt A Bailey, DC, NP-C
- Chiropractor
- Lewiston, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIA-810
- Practice address
- 3510 12TH St
Lewiston, ID 83501-5575 - Phone
- (208) 799-3333
- Fax
- (208) 799-3375
- NPI assigned
- Jan 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIA-810 | ID | Primary |
| Chiropractor | 111N00000X | CH00003346 | WA | |
| Family Nurse Practitioner | 363LF0000X | NP-1087A | ID |
Addresses
Primary practice location
3510 12TH St
Lewiston, ID 83501-5575
Mailing address
3510 12TH St
Lewiston, ID 83501-5575
Phone (208) 799-3333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120124000519 | ID | Practitioner - Chiropractic | 6406023951 |
Receives reassigned benefits from 1 practitioner Practice locations: Lewiston, ID |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3510 12TH St
Lewiston, ID 83501-5575
Hospital & facility affiliations
- Gritman Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00003346 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lewiston Family Chiropractic | Chiropractor | Past | Accepting new patients |
| Richard Cohen Professional Chiropractic Corporation | Chiropractor | Past | Accepting new patients |
| Interventional Pain Consultants PA | Past | Accepting new patients |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Organizations & group practices 3
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.
-
- Chiropractor
- Lewiston, ID
- NPI 1194081687
-
- Interventional Pain Medicine Physician
- Lewiston, ID
- NPI 1356353239
-
- Chiropractor
- Redondo Beach, CA
- NPI 1497835177
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372204800000",
"number": "1528046661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3510 12TH ST",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835015575",
"telephone_number": "208-799-3333",
"fax_number": "208-799-3375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3510 12TH ST",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835015575",
"telephone_number": "208-799-3333",
"fax_number": "208-799-3375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "KURT",
"middle_name": "A",
"credential": "DC, NP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-09",
"last_updated": "2013-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA-810",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00003346",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "NP-1087A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.