Individual provider Active NPI

Cameron Dwyer, DC

  • Chiropractor
  • Coeur d'Alene, ID
National Provider Identifier
1962198952
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-2352 Issued in ID
Practice address
980 W Ironwood Dr Ste 206
Coeur D Alene, ID 83814-2668
Phone
(208) 215-2030
Fax
(208) 400-9537
NPI assigned
Apr 13, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR.CH.61413649 WA
Chiropractor 111N00000X CHIA-2352 ID Primary

Addresses

Primary practice location

980 W Ironwood Dr Ste 206
Coeur D Alene, ID 83814-2668

Mailing address

980 W Ironwood Dr Ste 206
Coeur D Alene, ID 83814-2668
Phone (208) 215-2030

Other practice location 1

11909 N Division St Ste 103
Spokane, WA 99218-1903
Phone (509) 465-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230502002432 WA Practitioner - Chiropractic 4284099961 Reassigns benefits to 1 organization
I20260129003720 ID Practitioner - Chiropractic 4284099961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Brian Mather PCGroup PAC ID 8022073568, 5 clinicians

Practice addresses (Care Compare)

11909 N Division St
Suite 103
Spokane, WA 99218-1903
Phone (509) 465-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brian Mather, PC CurrentSince Apr 14, 2023 Accepting new patients
Health Sport LLC Chiropractor CurrentSince Oct 18, 2025 Accepting new patients

Locations

980 W Ironwood Dr
Ste 206
Coeur D Alene, ID 83814
Phone (208) 215-2030

11909 N Division St
Ste 103
Spokane, WA 99218
Phone (509) 465-8400

Organizations & group practices 2

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": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1962198952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 W IRONWOOD DR STE 206",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142668",
            "telephone_number": "208-215-2030",
            "fax_number": "208-400-9537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 W IRONWOOD DR STE 206",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142668",
            "telephone_number": "208-215-2030",
            "fax_number": "208-400-9537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11909 N Division St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992181903",
            "country_code": "US",
            "telephone_number": "509-465-8400",
            "fax_number": "509-465-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DWYER",
        "first_name": "CAMERON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-13",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CHIR.CH.61413649",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-2352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.