Devon Penner, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-2324 Issued in ID

Practice address

108 E Pine St
Caldwell, ID 83605-4836

Phone

(208) 459-0858

NPI assigned

Nov 22, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2013

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.

• Drpenner LLC

  • Chiropractor
  • Caldwell, ID
  • NPI 1992570550
  NPD Authorized official
• Downey Chiropracatic Clinic, P.C.

  • Chiropractor
  • Caldwell, ID
  • NPI 1326291329
  NPD

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

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1942075650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1783 W BRENTON ST",
            "city": "MIDDLETON",
            "state": "ID",
            "postal_code": "83644",
            "telephone_number": "986-837-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E PINE ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054836",
            "telephone_number": "208-459-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNER",
        "first_name": "DEVON",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-22",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "ID",
            "license": "ACP-467",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-2324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dallas Wayne Payton, M.A., LCPC
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• John R Pearce, DO
• Pearl Dentistry PC
• Penny Wise Drug Stores Inc (Penny Wise Drug)
• Priscila Perez Cruz
• Molly Perotti
• Brittany Perrault, RD
• Bretta Gayle Perry, REGISTERED NURSE

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.