Organization Active NPI

Cloud Peak Chiropractic, P.C.

  • Chiropractor
  • Worland, WY
National Provider Identifier
1093414690
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CLOUD PEAK CHIROPRACTIC, P.C.
Practice address
618 Coburn Ave
Worland, WY 82401-3314
Phone
(307) 347-3500
Fax
(307) 347-4893
NPI assigned
Mar 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Authorized official

Name
Sarah Elizabeth Radabaugh, D.C.NPI 1144349598
Title
Doctor of Chiropractic
Phone
(307) 347-3500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

618 Coburn Ave
Worland, WY 82401-3314

Mailing address

618 Coburn Ave
Worland, WY 82401-3314
Phone (307) 347-3500

Other practice location 1

443 Big Horn St
Thermopolis, WY 82443-2306
Phone (307) 864-4044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230307001160 WY Part B Supplier - Clinic/Group Practice 4183887789 Receives reassigned benefits from 3 practitioners
Practice locations: Worland, WY

National Provider Directory

National Provider Directory

Locations

443 Big Horn St
Thermopolis, WY 82443
Phone (307) 864-3137

Practitioners & affiliated clinicians

Practitioners 3

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": "1677715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1093414690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 COBURN AVE",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "824013314",
            "telephone_number": "307-347-3500",
            "fax_number": "307-347-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 COBURN AVE",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "824013314",
            "telephone_number": "307-347-3500",
            "fax_number": "307-347-4893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "443 Big Horn St",
            "address_purpose": "LOCATION",
            "city": "Thermopolis",
            "state": "WY",
            "postal_code": "824432306",
            "country_code": "US",
            "telephone_number": "307-864-4044",
            "fax_number": "307-864-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLOUD PEAK CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-03-02",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "RADABAUGH",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "307-347-3500",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worland, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.