Organization Active NPI

Heart Mountain Chiropractic Inc

  • Chiropractor
  • Cody, WY
National Provider Identifier
1093915746
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
571 Issued in WY
Legal business name
HEART MOUNTAIN CHIROPRACTIC INC
Practice address
1543 Bleistein Ave
Cody, WY 82414-3806
Phone
(307) 527-5469
Fax
(307) 527-6949
NPI assigned
Jul 20, 2007
Last updated
Dec 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Authorized official

Name
Edward A Madrid, D.C.NPI 1043385479
Title
Owner
Phone
(307) 527-5469

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
Chiropractor 111N00000X 571 WY Primary

Addresses

Primary practice location

1543 Bleistein Ave
Cody, WY 82414-3806

Mailing address

1543 Bleistein Ave
Cody, WY 82414-3806
Phone (307) 527-5469

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1093915746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1543 BLEISTEIN AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824143806",
            "telephone_number": "307-527-5469",
            "fax_number": "307-527-6949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1543 BLEISTEIN AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824143806",
            "telephone_number": "307-527-5469",
            "fax_number": "307-527-6949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART MOUNTAIN CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "MADRID",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-527-5469",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WY",
            "license": "571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cody, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.