Active NPI
Ryan Gib Hein, D.C.
- Chiropractor
- Caldwell, ID
National Provider Identifier
1700020518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIA-1342
- Practice address
- 5216 Cleveland Blvd
Suite G
Caldwell, ID 83607-8123 - Phone
- (208) 899-7323
- NPI assigned
- Apr 23, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIA-1342 | ID | Primary |
Addresses
Primary practice location
5216 Cleveland Blvd
Suite G
Caldwell, ID 83607-8123
Mailing address
5216 Cleveland Blvd
Suite G
Caldwell, ID 83607-8123
Phone (208) 899-7323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090827000379 | ID | Practitioner - Chiropractic | 3971658915 | Practice locations: Caldwell, ID |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIA-1342 | ID | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Full Life Chiropractic, PA | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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": "1240444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745539200000",
"number": "1700020518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5216 CLEVELAND BLVD",
"address_2": "SUITE G",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836078123",
"telephone_number": "208-899-7323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5216 CLEVELAND BLVD",
"address_2": "SUITE G",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836078123",
"telephone_number": "208-899-7323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIN",
"first_name": "RYAN",
"middle_name": "GIB",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-23",
"last_updated": "2025-04-25",
"certification_date": "2025-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA-1342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caldwell, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.