NPIMap

Organization Active NPI

Whitefish Community Aquatic & Health Center

Doing business as The Wave

  • Massage Therapist
  • Whitefish, MT
National Provider Identifier
1083053169
Registry record updated Jun 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
WHITEFISH COMMUNITY AQUATIC & HEALTH CENTER
Doing business as
The Wave
Practice address
1250 Baker Ave
Whitefish, MT 59937-2955
Phone
(406) 862-2444
Fax
(406) 862-1844
NPI assigned
Jun 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2013

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

Authorized official

Name
Mrs. Dani Crismore
Title
Accountant
Phone
(406) 862-2444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

1250 Baker Ave
Whitefish, MT 59937-2955

Mailing address

1250 Baker Ave
Whitefish, MT 59937-2955
Phone (406) 862-2444

Other names 1

  • The Wave Doing business as

National Provider Directory

National Provider Directory

Locations

1250 Baker Ave
Whitefish, MT 59937
Phone (406) 274-3221

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371772800000",
    "number": "1083053169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 BAKER AVE",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599372955",
            "telephone_number": "406-862-2444",
            "fax_number": "406-862-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 BAKER AVE",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599372955",
            "telephone_number": "406-862-2444",
            "fax_number": "406-862-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEFISH COMMUNITY AQUATIC & HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-21",
        "last_updated": "2013-06-21",
        "status": "A",
        "authorized_official_last_name": "CRISMORE",
        "authorized_official_first_name": "DANI",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "406-862-2444",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Wave",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whitefish, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; 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.