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Boise Sports Chiropractic Clinic

Orthopedic Chiropractor in Boise, ID · enumerated 2007 · authorized official Kevin Hearon, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114124138

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Registry record

Entity type Organization (Type 2)
Legal business name Boise Sports Chiropractic Clinic
Practice address 3314 N Cole Rd, Boise, ID, 83704
Phone (208) 377-9930
Enumeration date Jul 2, 2007
Last updated in NPPES Sep 11, 2025

Taxonomy & classification

111N00000X Chiropractor Chiropractic Providers · License C-4918 (ID) Secondary
111NN1001X Nutrition Chiropractor Chiropractic Providers · License C-4918 (ID) Secondary
111NR0400X Rehabilitation Chiropractor Chiropractic Providers · License C-4918 (ID) Secondary
111NS0005X Sports Physician Chiropractor Chiropractic Providers · License C-4918 (ID) Secondary
111NX0800X Orthopedic Chiropractor Chiropractic Providers · License C-4918 (ID) Primary

Authorized official

Name Kevin Hearon
Title Owner
Phone (208) 377-9930

Other identifiers

Identifier Type State Issuer
C-4918 Other ID IDAHO LICENSE NO.

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Boise Sports Chiropractic Clinic?
The NPI for Boise Sports Chiropractic Clinic is 1114124138, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Boise Sports Chiropractic Clinic?
NPPES lists Kevin Hearon (Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.