NPI age
19 years
Enumerated 2006-06-08
● Active Type 2 · Organization
Ryan Averett DPM Pc
Ryan Averett DPM Pc is 1 of 67 podiatrist organizations in Idaho.
Primary specialty
Podiatrist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Averett
President
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05
How this organization compares
Across 67 active podiatrist providers in Idaho.
NPI age
19 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
2221 W Ironwood Center Dr
Coeur D Alene, ID 838142697
Mailing address
1118 N 4th St
Coeur D Alene, ID 838143217
Authorized official
Ryan Kenneth Averett, D.P.M.
President
📞 2086610295
Specialties
-
Podiatrist PrimaryDefinition to come...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.