Matthew Priebe, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-2302 Issued in ID

Practice address

8109 N Wayne Blvd
Hayden, ID 83835-5031

Phone

(208) 667-7463

NPI assigned

Sep 26, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chiropractic Pain Relief Clinic P aGroup PAC ID 0547255945, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Chiropractic Pain Relief Clinic P a

  • Chiropractor
  • Hayden, ID
  • NPI 1821024134
  Medicare reassignment Care Compare group
• Joyce Kelley LMT

  • Massage Therapist
  • Coeur D Alene, ID
  • NPI 1134653439
  NPD (past)

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1942923719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5815 N MOUNT CARROL ST",
            "city": "DALTON GARDENS",
            "state": "ID",
            "postal_code": "838159620",
            "telephone_number": "208-277-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8109 N WAYNE BLVD",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838355031",
            "telephone_number": "208-667-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIEBE",
        "first_name": "MATTHEW",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-2302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Porter, FNP-C
• Talaya Marie Posselt
• Jenna Praggastis, LPC
• Yvonne Preiss
• Jeff J Priebe, D.C.
• Randall P Priebe, D.C.
• Progressive Behavior Services
• Progressive Behavior Services
• Public Health District 1
• Public Health District 1

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.