Back and Neck Clinic of Great Falls, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

941 Issued in MT

Legal business name

BACK AND NECK CLINIC OF GREAT FALLS, P.C.

Practice address

205 9TH Ave S
Suite 105
Great Falls, MT 59405-4071

Phone

(406) 771-8431

Fax

(406) 771-8432

NPI assigned

Jan 11, 2008

Last updated

Jun 5, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kevin Charles Otheim, D.C.NPI 1780714055

Title

President

Phone

(406) 771-8431

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin Charles Otheim, D.C.

  • Chiropractor
  • Great Falls, MT
  • NPI 1780714055
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1043496755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 9TH AVE S",
            "address_2": "SUITE 105",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054071",
            "telephone_number": "406-771-8431",
            "fax_number": "406-771-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 9TH AVE S",
            "address_2": "SUITE 105",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054071",
            "telephone_number": "406-771-8431",
            "fax_number": "406-771-8432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK AND NECK CLINIC OF GREAT FALLS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "OTHEIM",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-771-8431",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Jay Ayres, M.D.
• Azalea Place Adult Family Home
• Chad Joseph Baarson, D.O.
• Deanna L Babb, APRN, DNP
• Gwendolyn D Babineau
• Lori Lee Badgley, LCPC, LAC
• Robert Roger Baerman, RD
• Crystal Marie Bahnson, CPNP
• Elias J. Baied, DO
• Sandra L Bailey, D.O.

• Chiropractor in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Chiropractor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.