Edward a. Madrid, DC, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1204 Issued in MT

Legal business name

EDWARD A. MADRID, DC, PC

Doing business as

Pfaff Chiropractic

Practice address

104 E 1St St
Laurel, MT 59044-3030

Phone

(406) 628-4622

NPI assigned

Dec 5, 2011

Last updated

Dec 5, 2011By 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. Edward Madrid, D.C.NPI 1043385479

Title

Owner/President

Phone

(406) 628-4622

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pfaff Chiropractic Doing business as

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.

• Edward A Madrid, DC

  • Chiropractor
  • Phoenix, AZ
  • NPI 1043385479
  NPD Authorized official

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1063780104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E 1ST ST",
            "city": "LAUREL",
            "state": "MT",
            "postal_code": "590443030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E 1ST ST",
            "city": "LAUREL",
            "state": "MT",
            "postal_code": "590443030",
            "telephone_number": "406-628-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD A. MADRID, DC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "MADRID",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "406-628-4622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "1204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "1043385479",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pfaff Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jody Lynn Crowl, DDS
• CVS
• Kellie A Depuydt, NP
• Dr. Gary a. White, Optometrist, PC
• Chad Lewis Eastlick, D.C.
• Donald E Ellingson, MS
• Evergreen at Laurel, L.L.C. (Laurel Health and Rehabilitation Center)
• Dak R Fike, D.C.
• Heidi Finke
• Janice Marie Fordham, M.D.

• Chiropractor in Laurel, MT
• Providers in Laurel, MT by specialty
• Chiropractor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.