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Active NPI 1053960286 Individual Practitioner Male Practitioner

Kyle Hiromi Hatanaka , LAC

Acupuncturist • Boise, ID

Professional Overview & Biography Verified Profile Summary

Kyle Hatanaka, LAC is a registered healthcare professional specializing in Acupuncturist in Boise, ID. Practice services are available at 9450 #120 FAIRVIEW AVENUE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9450 #120 Fairview Avenue

Boise, ID 83704

Telephone 5305151064

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Boise, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.0 Yrs
Regional Practice Density
42 Specialists

Practicing in Boise, ID (119 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 10, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location September 10, 2019

Registered at 9450 #120 FAIRVIEW AVENUE, BOISE, ID 83704 (Tel: 5305151064)

📍
Updated Business Mailing Address September 10, 2019

Registered at 5112 NE 47TH PL, PORTLAND, OR 972182066 (Tel: 5305151064)

👤
Provider Name / Credentials Updated September 10, 2019

Recorded as KYLE HATANAKA, LAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2019

Acupuncturist

🟢
Initial NPI Registration & Enumeration September 10, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053960286
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 10, 2019
Last Update: September 10, 2019
Sole Proprietor: No

Mailing Address

5112 Ne 47th Pl

Portland, OR 972182066

Phone: 5305151064

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.