Active NPI
Dustin Meyer, DC
- Chiropractor
- Coeur D' Alene, ID
National Provider Identifier
1649709221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIA1768
- Practice address
- 311 East Coeur D'Alene Ave Suite B
Coeur D' Alene, ID 83814 - Phone
- (816) 605-5050
- NPI assigned
- Jun 7, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIA1768 | ID | Primary |
Addresses
Primary practice location
311 East Coeur D'Alene Ave Suite B
Coeur D' Alene, ID 83814
Mailing address
11197 N Friar Dr
Hayden, ID 83835-8502
Phone (816) 605-5050
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIA1768 | ID | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562976000000",
"number": "1649709221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11197 N FRIAR DR",
"city": "HAYDEN",
"state": "ID",
"postal_code": "838358502",
"telephone_number": "816-605-5050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 EAST COEUR D'ALENE AVE SUITE B",
"city": "COEUR D' ALENE",
"state": "ID",
"postal_code": "83814",
"telephone_number": "816-605-5050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "DUSTIN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-07",
"last_updated": "2019-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA1768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coeur D' Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.