Active NPI
Craig Ullman, DC
- Chiropractor
- Great Falls, MT
National Provider Identifier
1003324435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4548
- Practice address
- 1400 16TH Ave SW
Great Falls, MT 59404-3134 - Phone
- (406) 590-5900
- Fax
- (406) 453-5197
- NPI assigned
- Jan 19, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4548 | MT | Primary |
Addresses
Primary practice location
1400 16TH Ave SW
Great Falls, MT 59404-3134
Mailing address
1400 16TH Ave SW
Great Falls, MT 59404-3134
Phone (406) 590-5900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073791547 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4548 | MT | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1003324435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 16TH AVE SW",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594043134",
"telephone_number": "406-590-5900",
"fax_number": "406-453-5197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 16TH AVE SW",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594043134",
"telephone_number": "406-590-5900",
"fax_number": "406-453-5197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULLMAN",
"first_name": "CRAIG",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-01-19",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MT",
"license": "4548",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1073791547",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Great Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.