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HEALTH SPORT LLC
NPI 1578337044
Chiropractor in Coeur D Alene, ID

Active since November 14, 2023
980 W IRONWOOD DR STE 206, COEUR D ALENE, ID 83814(208) 215-2030(208) 400-9537 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Health Sport Llc NPPES

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

HEALTH SPORT LLC (NPI 1578337044) is a healthcare organization registered as a chiropractor in Coeur D Alene, Idaho and active in the NPI registry since November 2023. The organization lists Wendy Panos, Owner, as its authorized official.

NPPES Registry Identity

NPI1578337044
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameHEALTH SPORT LLC
Location Address980 W IRONWOOD DR STE 206Coeur D Alene, ID 83814-2668
Mailing Address980 W Ironwood Dr Ste 206Coeur D Alene, ID 83814-2668 · (208) 215-2030 · Fax (208) 400-9537
Phone(208) 215-2030
Fax(208) 400-9537
Organization SubpartNo
Authorized OfficialWendy PanosOwner · (208) 215-2030
Enumeration DateNovember 14, 2023
Last NPPES UpdateJuly 2, 2026
NPPES CertifiedJuly 2, 2026
✔ NPI 1578337044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
Also ListedPhysical Therapist · SportsTaxonomy 2251S0007X
980 W IRONWOOD DR STE 206, Coeur D Alene, ID 83814
Open in Google Maps ↗

Other Identifiers 1

Other1578337044ID · Multi-specialty

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Health Sport Llc 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 Health Sport LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Cameron Dwyer, DC
Chiropractic
NPI 1962198952
980 W IRONWOOD DR STE 206
Coeur D Alene, ID 83814
(208) 215-2030
Same 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 Health Sport LLC's NPI number?

The NPI number for Health Sport LLC is 1578337044. It was assigned to this organization in the NPPES registry on November 14, 2023.

Where is Health Sport LLC located?

Health Sport LLC is located at 980 W Ironwood Dr Ste 206, Coeur D Alene, ID 83814. The listed phone number is (208) 215-2030.

What is Health Sport LLC's specialty?

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

Is Health Sport LLC enrolled in Medicare?

Yes. Health Sport LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Health Sport LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Health Sport LLC. 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 Health Sport LLC was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.