Hayden Lake Chiropractic PA
NPI 1417370511 · Chiropractor · Hayden, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Hayden Lake Chiropractic PA is a Chiropractor organization in Hayden, ID (NPI 1417370511).
Provider details
- NPI number
- 1417370511
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Kevin Marsh, President(208) 762-0222
- License
- CHIA-699 (ID)
Specialties & taxonomies
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-01-24
- Last updated
- 2014-01-24
Frequently asked questions
- What is Hayden Lake Chiropractic PA's NPI number?
- Hayden Lake Chiropractic PA's National Provider Identifier (NPI) is 1417370511, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Hayden Lake Chiropractic PA?
- Hayden Lake Chiropractic PA is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Hayden Lake Chiropractic PA located?
- Hayden Lake Chiropractic PA's practice location on file with NPPES is 8235 N Cornerstone Dr, Hayden, ID 83835-8683.
- What is Hayden Lake Chiropractic PA's phone number?
- The practice phone number listed in the NPPES registry for Hayden Lake Chiropractic PA is (208) 762-0222.
- Does Hayden Lake Chiropractic PA accept Medicare?
- Hayden Lake Chiropractic PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Hayden Lake Chiropractic PA?
- The authorized official listed on Hayden Lake Chiropractic PA's NPPES record is Kevin Marsh, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Hayden Lake Chiropractic PA's NPI active?
- Yes — Hayden Lake Chiropractic PA's NPI (1417370511) is active in the NPPES registry as of the last update on 2014-01-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.