Great Northern Chiropractic Clinic, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

GREAT NORTHERN CHIROPRACTIC CLINIC, PLLC

Practice address

1617 Euclid Ave Ste 5
Helena, MT 59601-2048

Phone

(406) 442-3642

NPI assigned

Sep 10, 2015

Organization subpart

No

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

Authorized official

Name

Amy PezoNPI 1982758579

Title

Member/Manager

Phone

(406) 442-3642

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

Practitioners 1

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

• Amy A Pezo, D.C., C.C.S.P.

  • Sports Physician Chiropractor
  • Helena, MT
  • NPI 1982758579
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1093183857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 EUCLID AVE STE 5",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596012048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 EUCLID AVE STE 5",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596012048",
            "telephone_number": "406-442-3642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT NORTHERN CHIROPRACTIC CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-10",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "PEZO",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "406-442-3642"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen G Grass, RDH
• Diane M Gray, O.D.
• Edward M Gray, LCPC
• Kelsie J Gray, DPT
• Great Divide Radiology, PLLP
• Erin Green, D.O.
• Teryn Ashli Green, PA-C
• Greenbriar Psychotherapy
• Jennifer Greene, LMT
• Lydia Lydia Greene, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.

Verify at the official NPI Registry.