Active NPI
Michael T Henze, D.C.
- Chiropractor
- Boise, ID
National Provider Identifier
1902008246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Practice address
- 9211 W Overland Rd
Boise, ID 83709-2502 - Phone
- (208) 377-7970
- Fax
- (208) 377-0796
- NPI assigned
- May 31, 2007
- 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 | ID | Primary |
Addresses
Primary practice location
9211 W Overland Rd
Boise, ID 83709-2502
Mailing address
9211 W Overland Rd
Boise, ID 83709-2502
Phone (208) 377-7970
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040820000324 | ID | Practitioner - Chiropractic | 7810961430 |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1996
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
9211 W Overland Rd
Boise, ID 83709-2502
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 185511300 | ID | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902008246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9211 W OVERLAND RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837092502",
"telephone_number": "208-377-7970",
"fax_number": "208-377-0796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9211 W OVERLAND RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837092502",
"telephone_number": "208-377-7970",
"fax_number": "208-377-0796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENZE",
"first_name": "MICHAEL",
"middle_name": "T",
"name_prefix": "Mr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 8, 2007; 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.