Active NPI
Mandy Jane Jairell, D.C.
- Chiropractor
- Laramie, WY
National Provider Identifier
1083902365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 711
- Practice address
- 312 Steele St
Laramie, WY 82070-4454 - Phone
- (307) 760-0311
- NPI assigned
- Jul 20, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 711 | WY | Primary |
Addresses
Primary practice location
312 Steele St
Laramie, WY 82070-4454
Mailing address
312 Steele St
Laramie, WY 82070-4454
Phone (307) 760-0311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 711 | WY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspen Family Chiropractic | Chiropractor | Current | Accepting new patients |
Locations
312 Steele St
Laramie, WY 82070
Phone (307) 745-7746
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Laramie, WY
- NPI 1639457393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311120000000",
"number": "1083902365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 STEELE ST",
"city": "LARAMIE",
"state": "WY",
"postal_code": "820704454",
"telephone_number": "307-760-0311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 STEELE ST",
"city": "LARAMIE",
"state": "WY",
"postal_code": "820704454",
"telephone_number": "307-760-0311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAIRELL",
"first_name": "MANDY",
"middle_name": "JANE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-20",
"last_updated": "2011-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WY",
"license": "711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laramie, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.