Jimmerson Chiropractic Clinic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

600 Issued in MT

Legal business name

JIMMERSON CHIROPRACTIC CLINIC, INC.

Practice address

307 9TH St S
Great Falls, MT 59405-2105

Phone

(406) 727-5231

Fax

(406) 727-6392

NPI assigned

Nov 2, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Gary E Jimmerson, D.C.

Title

Doctor/Owner

Phone

(406) 727-5231

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Darcy Zanto, FNP

  • Primary Care Nurse Practitioner
  • Fort Benton, MT
  • NPI 1467100164
  NPD (past)
• Kerri Michelle Bahnemann, D.C.

  • Chiropractor
  • Colorado Springs, CO
  • NPI 1699081760
  NPD (past)

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

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1114203221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 9TH ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594052105",
            "telephone_number": "406-727-5231",
            "fax_number": "406-727-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 9TH ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594052105",
            "telephone_number": "406-727-5231",
            "fax_number": "406-727-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMMERSON CHIROPRACTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-02",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "JIMMERSON",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "406-727-5231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "M000004233",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craig C Jensen, MA, LCPC, NCC
• Jeremy Evans Jensen, MD
• Michael John Jensen, MPT, OCS
• Russell Ray Jensen, D.M.D.
• Morris Lynn Jessop, M.D.
• Crystal Victoria Jimmerson, DC, MS
• Kevin James Jimmerson, D.C.
• Derek Dwayne Johanson, MD
• John G Vangilder PLLC
• John T Molloy MD PLLC

• Chiropractor in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Chiropractor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.