Daniel Michael Pewe, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-724 Issued in ID

Practice address

288 Highway 16 Ste 101
Emmett, ID 83617-5082

Phone

(208) 365-2225

Fax

(208) 365-2225

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Daniel M Pewe DC PC

  • Clinic/Center
  • Emmett, ID
  • NPI 1487829107
  Medicare reassignment NPD Authorized official
• Redefined Counseling and Consulting

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Emmett, ID
  • NPI 1710745427
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1922012954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 HIGHWAY 16, SUITE 101",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836172973",
            "telephone_number": "208-365-2225",
            "fax_number": "208-365-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 HIGHWAY 16 STE 101",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836175082",
            "telephone_number": "208-365-2225",
            "fax_number": "208-365-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEWE",
        "first_name": "DANIEL",
        "middle_name": "MICHAEL",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002713900",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Mahcalani Paller, LMSC
• Peterson Orthodontics PLLC
• Kelsey Peterson, DMD
• Petrie White Family Medicine of Idaho
• Jennifer Petrie, MD
• Debra Anne Phillips, FNP-BC
• Kathryn Margaret Phillips, DPT
• Kirk D Prodzinski, DO
• Sheila Ann Pulley, CPHT
• Patty Ann Puschmann, BI

• Chiropractor in Emmett, ID
• Providers in Emmett, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.