Organization Active NPI

Klein Chiropractic

  • Chiropractor
  • Hayden, ID
National Provider Identifier
1699410407
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KLEIN CHIROPRACTIC
Practice address
1102 W Hayden Ave
Ste 2
Hayden, ID 83835
Phone
(360) 561-5377
NPI assigned
May 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Authorized official

Name
Hayden Klein, DCNPI 1033707302
Title
Owner
Phone
(360) 561-5377

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1102 W Hayden Ave
Ste 2
Hayden, ID 83835

Mailing address

1102 W Hayden Ave
Ste 2
Hayden, ID 83835
Phone (360) 561-5377

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220629001862 ID Part B Supplier - Clinic/Group Practice 3779963327 Receives reassigned benefits from 1 practitioner
Practice locations: Hayden, ID

National Provider Directory

National Provider Directory

Locations

1102 W Hayden Ave
#A
Hayden, ID 83835
Phone (208) 620-7150

1102 W Hayden Ave
Ste 2
Hayden, ID 83835
Phone (208) 620-7150

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1699410407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 W HAYDEN AVE",
            "address_2": "STE 2",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "83835",
            "telephone_number": "360-561-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 W HAYDEN AVE",
            "address_2": "STE 2",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "83835",
            "telephone_number": "360-561-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLEIN CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "HAYDEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-561-5377",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayden, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.