Timberland Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

603 Issued in WY

Legal business name

TIMBERLAND CHIROPRACTIC PC

Practice address

1050 N Hwy 414
Mountain View, WY 82939

Phone

(307) 782-3180

Fax

(307) 782-3181

NPI assigned

Nov 13, 2008

Organization subpart

No

Name

Dr. Richard Tad Guild, DCNPI 1114947256

Title

Owner/President

Phone

(307) 782-3180

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

• Richard Tad Guild, D.C.

  • Chiropractor
  • Mountain View, WY
  • NPI 1114947256
  Medicare reassignment NPD Authorized official

Medicare fee-for-service enrollment

Enrolled in WY

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 6, 2009.

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1124272372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 895",
            "address_2": "1050 N HWY 414",
            "city": "MOUNTAIN VIEW",
            "state": "WY",
            "postal_code": "829390895",
            "telephone_number": "307-782-3180",
            "fax_number": "307-782-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 N HWY 414",
            "city": "MOUNTAIN VIEW",
            "state": "WY",
            "postal_code": "82939",
            "telephone_number": "307-782-3180",
            "fax_number": "307-782-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBERLAND CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-13",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "GUILD",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "TAD",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "307-782-3180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WY",
            "license": "603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Mountain View, WY
• Chiropractor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; 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.