Chiropractic Clinic of Three Forks

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

583 Issued in MT

Legal business name

CHIROPRACTIC CLINIC OF THREE FORKS

Practice address

217 Main St
Three Forks, MT 59752-1307

Phone

(406) 285-6935

Fax

(406) 285-6935

NPI assigned

Feb 24, 2009

Last updated

Feb 24, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Donald C Funke, DC

Title

Owner

Phone

(406) 285-6935

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1104066646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1307",
            "address_2": "217 MAIN ST",
            "city": "THREE FORKS",
            "state": "MT",
            "postal_code": "597521307",
            "telephone_number": "406-285-6935",
            "fax_number": "406-285-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 MAIN ST",
            "city": "THREE FORKS",
            "state": "MT",
            "postal_code": "597521307",
            "telephone_number": "406-285-6935",
            "fax_number": "406-285-6935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC CLINIC OF THREE FORKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-24",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "FUNKE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-285-6935",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0000042163",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 406 RX PLLC (Three Forks Family Pharmacy)
• Bates Family Diversified, LLC (Three Rivers Clinic)
• Jack Howard Berg, D.C.
• Jacob Edward Boll, DC
• Chiro-Kinetics, P.C.
• Clarkston Fire Service Area No 6
• Jennifer Collins
• Jamie Lyn Demaray
• Christina Maureen Enderes, P.C.L.C.
• Alfred Flint, DVM, PHD

• Chiropractor in Three Forks, MT
• Providers in Three Forks, MT by specialty
• Chiropractor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; 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.