Individual provider Active NPI

Matthew Robert Hyde, CSFA

  • Orthopedic Assistant
  • Boise, ID
National Provider Identifier
1558013045
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic AssistantTaxonomy code 246ZX2200X
Practice address
600 N Robbins Rd Ste 401
Boise, ID 83702-4566
Phone
(208) 489-4279
NPI assigned
Jan 25, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 246ZX2200X Primary

Addresses

Primary practice location

600 N Robbins Rd Ste 401
Boise, ID 83702-4566

Mailing address

600 N Robbins Rd Ste 401
Boise, ID 83702-4566
Phone (208) 489-4279

Electronic endpoints 6

TypeEndpointUseAffiliation
Other URL slhs.org
Other URL hydem@slhs.org
CONNECT URL hydem@slhs.org
Other URL hydem@slhs.org
Other URL slhs.org
CONNECT URL hydem@slhs.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1558013045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N ROBBINS RD STE 401",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024566",
            "telephone_number": "208-489-4279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N ROBBINS RD STE 401",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024566",
            "telephone_number": "208-489-4279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYDE",
        "first_name": "MATTHEW",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "CSFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZX2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Orthopedic Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "slhs.org",
            "affiliation": "N",
            "address_1": "600 N Robbins Rd Ste 401",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837024566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "hydem@slhs.org",
            "affiliation": "N",
            "address_1": "600 N Robbins Rd Ste 401",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837024566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hydem@slhs.org",
            "affiliation": "N",
            "address_1": "600 N Robbins Rd Ste 401",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837024566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "hydem@slhs.org",
            "affiliation": "N",
            "address_1": "600 N Robbins Rd Ste 401",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837024566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "slhs.org",
            "affiliation": "N",
            "address_1": "600 N Robbins Rd Ste 401",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837024566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hydem@slhs.org",
            "affiliation": "N",
            "address_1": "600 N Robbins Rd Ste 401",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837024566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.