Wade Anthony Darr, DC
Individual provider Active NPI Chiropractor · Bozeman, MT
NPI 1003972571 · NPPES record last updated Sep 7, 2007
Key facts
- NPI
- 1003972571
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 643CHI (MT)
- Practice address
- 2616 W Main St Ste B
Bozeman, MT 59718 - Phone
- (406) 586-5810
- Fax
- (406) 586-5583
- NPI assigned
- Dec 29, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ND, AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140825002766 | ND | Practitioner - Chiropractic | 6204880057 | Reassigns benefits to 1 organization |
| I20240328003321 | AZ | Practitioner - Chiropractic | 6204880057 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 643CHI | MT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D Fraker Inc | Chiropractor | Current |
Accepting new patients |
| Blue Apple Wellness, LLP | Chiropractor | Current | Accepting new patients |
| The Spine Docs, LLC | Chiropractor | Current |
Accepting new patients |
| Blue Apple Wellness, LLP | Chiropractor | Current |
Accepting new patients |
| Blue Apple Wellness, LLP | Chiropractor | Current |
Accepting new patients |
| Dutton & Willhite, Inc. | Chiropractor | Current |
Accepting new patients |
| Aumann Chiropractic PS Inc | Chiropractor | Past | Accepting new patients |
| Southridge Chiropractic PC | Chiropractor | Past |
Accepting new patients |
| Linebarger Chiropractic, PC | Chiropractor | Past | Accepting new patients |
| Wade a Darr D.C. P.C. | Chiropractor | Past |
Accepting new patients |
| Myers Chiropractic PLLC | Chiropractor | Past |
Accepting new patients |
Locations
1925 E Brown Rd
Ste A1
Mesa, AZ 85203
Phone (480) 610-4663
2622 W Main St
Ste B
Bozeman, MT 59718
Phone (406) 587-9679
1001 W Interstate Ave
Ste 108
Bismarck, ND 58503
Phone (701) 751-1541
1650 45th St S
Ste 113
Fargo, ND 58103
Phone (701) 532-0397
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 643CHI | MT | Yes |
Addresses
Primary practice location
2616 W Main St Ste B
Bozeman, MT 59718
Mailing address
2616 W Main St Ste B
Bozeman, MT 59718
Phone (406) 586-5810
Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.