NPIMap

Organization Active NPI

Wathan Chiropractic LLC

  • Chiropractor
  • Kalispell, MT
National Provider Identifier
1114114030
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WATHAN CHIROPRACTIC LLC
Practice address
221 Parkway Dr
Kalispell, MT 59901-3013
Phone
(406) 890-2212
Fax
(406) 890-2234
NPI assigned
Sep 25, 2007
Last updated
Nov 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Authorized official

Name
Angie Wathan, DC
Title
Owner
Phone
(406) 890-2212

Specialties & licenses 1

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

Addresses

Primary practice location

221 Parkway Dr
Kalispell, MT 59901-3013

Mailing address

2593 US Highway 2 E Ste 1
Kalispell, MT 59901-9507
Phone (406) 890-2212

National Provider Directory

National Provider Directory

Locations

504 Maurer St
#1235
Wilton, IA 52778
Phone (563) 732-3221

Practitioners & affiliated clinicians

Practitioners 5

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": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1114114030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2593 US HIGHWAY 2 E STE 1",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599019507",
            "telephone_number": "406-890-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 PARKWAY DR",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013013",
            "telephone_number": "406-890-2212",
            "fax_number": "406-890-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATHAN CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "WATHAN",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-890-2212",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.