Individual provider Active NPI

Eric Phillip Sayer, D.C.

  • Chiropractor
  • Idaho Falls, ID
National Provider Identifier
1649314477
Registry record updated Jan 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA1016 Issued in ID
Practice address
976 John Adams Pkwy
Idaho Falls, ID 83401-4049
Phone
(208) 522-1333
Fax
(208) 522-4777
NPI assigned
Feb 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIA1016 ID Primary

Addresses

Primary practice location

976 John Adams Pkwy
Idaho Falls, ID 83401-4049

Mailing address

976 John Adams Pkwy
Idaho Falls, ID 83401-4049
Phone (208) 522-1333

Other identifiers 2

IdentifierTypeStateIssuer
C3365OtherIDBLUE CROSS
00001014722OtherIDREGENCE BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050216000506 ID Practitioner - Chiropractic 5991757114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

976 John Adams Pkwy
Idaho Falls, ID 83401-4049
Phone (208) 522-1333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIA1016IDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sayer Family Chiropractic, PA Chiropractor CurrentSince Jan 3, 2005 Accepting new patients
Staker Chiropractic PC Chiropractor PastSince Jan 3, 2005 Accepting new patients

Locations

976 John Adams Pkwy
Idaho Falls, ID 83401
Phone (208) 522-1333

540 4th St
Idaho Falls, ID 83401
Phone (208) 522-1333

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1649314477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "976 JOHN ADAMS PKWY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014049",
            "telephone_number": "208-522-1333",
            "fax_number": "208-522-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "976 JOHN ADAMS PKWY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014049",
            "telephone_number": "208-522-1333",
            "fax_number": "208-522-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYER",
        "first_name": "ERIC",
        "middle_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA1016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "C3365",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "00001014722",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.