Individual provider Active NPI

Katherine Elaine Halper, DC

  • Chiropractor
  • Eagle, ID
National Provider Identifier
1982090403
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-1676 Issued in ID
Practice address
950 E Riverside Dr
Eagle, ID 83616-6020
Phone
(208) 939-2502
NPI assigned
Apr 10, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 6233 OR
Chiropractor 111N00000X CHIA-1676 ID Primary

Addresses

Primary practice location

950 E Riverside Dr
Eagle, ID 83616-6020

Mailing address

8505 W Overland Rd
Boise, ID 83709-1644
Phone (208) 629-1904

Other practice location 1

1802 4th St Ste A
LA Grande, OR 97850-2565
Phone (541) 963-9632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, ID, OR3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150516000000 AK Practitioner - Chiropractic 5890015705 Reassigns benefits to 1 organization
I20151118000869 ID Practitioner - Chiropractic 5890015705 Reassigns benefits to 1 organization
I20230309000661 OR Practitioner - Chiropractic 5890015705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Idealspine Health CenterGroup PAC ID 6901041094, 2 clinicians

Practice addresses (Care Compare)

950 E Riverside Dr
Eagle, ID 83616-6020
Phone (208) 939-2502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIA-1676IDMDChiropractor
6233ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Family Integrated Wellness LLC Single Specialty CurrentSince Aug 1, 2020 Accepting new patients
Kehr Chiropractic, Inc Chiropractor CurrentSince Dec 2, 2022 Accepting new patients
Idealspine Health Center Single Specialty CurrentSince Aug 22, 2024 Accepting new patients

Locations

600 E 36th Ave
Ste 300
Anchorage, AK 99503
Phone (907) 562-3060

950 E Riverside Dr
Eagle, ID 83616
Phone (208) 939-2502

1802 4th St
Ste A
La Grande, OR 97850
Phone (541) 962-0830

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1982090403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8505 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091644",
            "telephone_number": "208-629-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E RIVERSIDE DR",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166020",
            "telephone_number": "208-939-2502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1802 4th St Ste A",
            "address_purpose": "LOCATION",
            "city": "LA Grande",
            "state": "OR",
            "postal_code": "978502565",
            "country_code": "US",
            "telephone_number": "541-963-9632",
            "fax_number": "541-963-6346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALPER",
        "first_name": "KATHERINE",
        "middle_name": "ELAINE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-10",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6233",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.