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DR. TYLER REIDHEAD D.C.
NPI 1750830345
Chiropractor in Boise, ID

Active since September 24, 2016
9508 W FAIRVIEW AVE, BOISE, ID 83704(208) 323-1313(208) 323-1368 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 14, 2025, Sep 24, 2016 (2 updates tracked since 2016).

About Dr. Tyler Reidhead D.c. NPPES

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

DR. TYLER REIDHEAD D.C. (NPI 1750830345) is an individual chiropractor in Boise, Idaho, licensed in Idaho (1722) and active in the NPI registry since September 2016. He is a graduate of Western States College Of Chiropractic (2016).

NPPES Registry Identity

NPI1750830345
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. TYLER REIDHEADCredential: D.C.
Location Address9508 W FAIRVIEW AVEBoise, ID 83704-8103
Mailing Address9508 W Fairview AveBoise, ID 83704-8103 · (208) 323-1313 · Fax (208) 323-1368
Phone(208) 323-1313
Fax(208) 323-1368
Sole ProprietorNo
Medical School CMSWestern States College Of ChiropracticGraduated 2016
Enumeration DateSeptember 24, 2016
Last NPPES UpdateMay 14, 20252 updates tracked since enumeration
NPPES CertifiedMay 14, 2025
✔ NPI 1750830345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in ID · 1722
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.

9508 W FAIRVIEW AVE, Boise, ID 83704
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tyler Reidhead D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719266725
PECOS Enrollment IDI20161115002330

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
225 services24 patients

Other Providers at the Same Location NPPES 4

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

PRICE CHIROPRACTIC CENTER CHARTERED
Chiropractor (Orthopedic)
9508 W FAIRVIEW AVE
BOISE, ID 83704
Ada County (208) 323-1313
MISS ABBY LYN RHOADES FNP-C
Nurse Practitioner (Family)
9508 W FAIRVIEW AVE
BOISE, ID 83704
Ada County (208) 323-1313
JESSE SAMPOGNA DPT
Physical Therapist
9508 W FAIRVIEW AVE
BOISE, ID 83704
Ada County (208) 323-1313
ERIN MARGARET TUTHILL D.P.T.
Physical Therapist
9508 W FAIRVIEW AVE
BOISE, ID 83704
Ada County (208) 323-1313

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 Tyler Reidhead's NPI number?

The NPI number for Tyler Reidhead is 1750830345. It was assigned to this individual provider in the NPPES registry on September 24, 2016.

Where is Tyler Reidhead located?

Tyler Reidhead practices at 9508 W Fairview Ave, Boise, ID 83704. The listed phone number is (208) 323-1313.

What is Tyler Reidhead's specialty?

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

Is Tyler Reidhead enrolled in Medicare?

Yes. Tyler Reidhead is registered in the Medicare PECOS enrollment system.

What insurance does Tyler Reidhead accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Select Health list Tyler Reidhead as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tyler Reidhead was last updated on May 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.