Organization Active NPI

Idaho Integrative Wellness, LLC

Doing business as The Art of Integrative Medicine & Wellness

  • Surgery Physician
  • Rock Springs, WY
National Provider Identifier
1144900069
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
IDAHO INTEGRATIVE WELLNESS, LLC
Doing business as
The Art of Integrative Medicine & Wellness
Practice address
116 2ND St
Rock Springs, WY 82901-6145
Phone
(307) 922-4290
Fax
(307) 522-5559
NPI assigned
Jul 25, 2023
Last updated
Jul 25, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
IDAHO INTEGRATIVE WELLNESS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Authorized official

Name
Dr. Chad Keith Franks, MDNPI 1982825675
Title
Owner
Phone
(307) 371-3725

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

116 2ND St
Rock Springs, WY 82901-6145

Mailing address

116 2ND St
Rock Springs, WY 82901-6145
Phone (307) 922-4290

Other names 1

  • The Art of Integrative Medicine & Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230808001994 WY Part B Supplier - Clinic/Group Practice 2961864970 Practice locations: Rock Springs, WY

National Provider Directory

National Provider Directory
Part of
Idaho Integrative Wellness LLC

Locations

116 2nd St
Rock Springs, WY 82901
Phone (307) 871-4733

Practitioners & affiliated clinicians

Practitioners 1

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": "1690243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1144900069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 2ND ST",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829016145",
            "telephone_number": "307-922-4290",
            "fax_number": "307-522-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 2ND ST",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829016145",
            "telephone_number": "307-922-4290",
            "fax_number": "307-522-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO INTEGRATIVE WELLNESS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IDAHO INTEGRATIVE WELLNESS, LLC",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "FRANKS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-371-3725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Art of Integrative Medicine & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rock Springs, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.