BOISE SPORTS CHIROPRACTIC CLINIC
NPI 1114124138
Chiropractor - Orthopedic in Boise, ID

Active since July 02, 2007
3314 N COLE RD, BOISE, ID 83704(208) 377-9930 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Boise Sports Chiropractic Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOISE SPORTS CHIROPRACTIC CLINIC (NPI 1114124138) is a healthcare organization registered as an orthopedic in Boise, Idaho and active in the NPI registry since July 2007. The organization lists Kevin Hearon, Owner, as its authorized official.

NPPES Registry Identity

NPI1114124138
Entity TypeOrganization
Primary Taxonomy111NX0800X
Legal Business NameBOISE SPORTS CHIROPRACTIC CLINIC
Location Address3314 N COLE RDBoise, ID 83704-4403
Mailing Address3314 N Cole RdBoise, ID 83704-4403
Organization SubpartNo
Authorized OfficialKevin HearonOwner · (208) 377-9930
Enumeration DateJuly 2, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1114124138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyChiropractor · OrthopedicChiropractic Providers
Taxonomy Code111NX0800X
License Licensed in ID · C-4918
Definition

Chiropractic Orthopedics/Neuromusculoskeletal Medicine is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, muscles, ligaments, tendons, their complete neurological and vascular components, referred organ systems and contiguous tissues. This also includes the development and perfection of skills relative to health maintenance when such exists and when not, the investigations, historical review, physical detection, correlative diagnosis development and complete management of any disorder within the bounds defined herein. Also necessary is the delivery of the combined knowledge and skill on a primary basis to patients who both need and desire this service to the eventual outcome of remissions, whenever resolution is not readily achievable. In addition the certified chiropractic orthopedist/neuromusculoskeletal medicine specialist provides consultation services at the request of other qualified doctors seeking assistance in the care of their patients. The chiropractic orthopedist/neuromusculoskeletal medicine specialist may also engage in the teaching and or research of subjects and materials relevant to pursuing the quest for knowledge in the ever changing field of the orthopedic specialty.

Also ListedChiropractorTaxonomy 111N00000X · License C-4918 (ID)
Also ListedChiropractor · NutritionTaxonomy 111NN1001X · License C-4918 (ID)
Also ListedChiropractor · RehabilitationTaxonomy 111NR0400X · License C-4918 (ID)
Also ListedChiropractor · Sports PhysicianTaxonomy 111NS0005X · License C-4918 (ID)
3314 N COLE RD, Boise, ID 83704

Other Identifiers 1

OtherC-4918ID · Idaho License No.

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
3314 N COLE RD
BOISE, ID 83704
Chiropractor (Sports Physician)
3314 N COLE RD
BOISE, ID 83704

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Boise Sports Chiropractic Clinic's NPI number?

The NPI number for Boise Sports Chiropractic Clinic is 1114124138. It was assigned to this organization in the NPPES registry on July 2, 2007.

Where is Boise Sports Chiropractic Clinic located?

Boise Sports Chiropractic Clinic is located at 3314 N Cole Rd, Boise, ID 83704. The listed phone number is (208) 377-9930.

What is Boise Sports Chiropractic Clinic's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Orthopedic, with taxonomy code 111NX0800X.

When was this NPI record last updated?

The NPPES record for Boise Sports Chiropractic Clinic was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.