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HAYDEN LAKE CHIROPRACTIC PA
NPI 1417370511
Chiropractor in Hayden, ID

Active since January 24, 2014
8235 N CORNERSTONE DR, HAYDEN, ID 83835(208) 762-0222(208) 762-5362 Get Directions Write a Review

NPPES record last updated: January 24, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Hayden Lake Chiropractic Pa NPPES

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

HAYDEN LAKE CHIROPRACTIC PA (NPI 1417370511) is a healthcare organization registered as a chiropractor in Hayden, Idaho and active in the NPI registry since January 2014. The organization lists Kevin Robert Marsh, President, as its authorized official.

NPPES Registry Identity

NPI1417370511
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameHAYDEN LAKE CHIROPRACTIC PA
Location Address8235 N CORNERSTONE DRHayden, ID 83835-8683
Mailing Address8235 N Cornerstone DrHayden, ID 83835-8683 · (208) 762-0222 · Fax (208) 762-5362
Phone(208) 762-0222
Fax(208) 762-5362
Organization SubpartNo
Authorized OfficialKevin Robert MarshPresident · (208) 762-0222
Enumeration DateJanuary 24, 2014
✔ NPI 1417370511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in ID · CHIA-699
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
8235 N CORNERSTONE DR, Hayden, ID 83835
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Other Identifiers 1

Medicare PIN1673365ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hayden Lake Chiropractic Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Hayden Lake Chiropractic PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kevin Marsh, D.C.
Chiropractic
NPI 1922144773
8235 N CORNERSTONE DR
Hayden, ID 83835
(208) 762-0222
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Hayden Lake Chiropractic PA's NPI number?

The NPI number for Hayden Lake Chiropractic PA is 1417370511. It was assigned to this organization in the NPPES registry on January 24, 2014.

Where is Hayden Lake Chiropractic PA located?

Hayden Lake Chiropractic PA is located at 8235 N Cornerstone Dr, Hayden, ID 83835. The listed phone number is (208) 762-0222.

What is Hayden Lake Chiropractic PA's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Hayden Lake Chiropractic PA enrolled in Medicare?

Yes. Hayden Lake Chiropractic PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hayden Lake Chiropractic PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Hayden Lake Chiropractic PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Hayden Lake Chiropractic PA was last updated on January 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.