Canyon Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1044 Issued in MT

Legal business name

CANYON CHIROPRACTIC PC

Practice address

605 S 1St St
Hamilton, MT 59840-2812

Phone

(406) 363-3333

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. James J. Kostecki, DCNPI 1952596272

Title

President

Phone

(406) 363-3333

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

Practitioners 2

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

• James J Kostecki, DC

  • Chiropractor
  • Hamilton, MT
  • NPI 1952596272
  Medicare reassignment NPD Authorized official
• Jarl Kleinman, D.C.

  • Chiropractor
  • Jeffersonville, IN
  • NPI 1497954408
  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1154484467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1316",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598401316",
            "telephone_number": "406-363-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 S 1ST ST",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402812",
            "telephone_number": "406-363-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "KOSTECKI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-363-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "1044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1154484467",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol A Calderwood, MD
• Mark Alexander Calderwood, MD
• Shannon Noel Calenberg, P.T., D.P.T.
• Mary E Camden, MD
• Janelle Campbell, RD
• Canyon View Dental PC
• Canyon View Dental PC
• Jake H. Capko, PT, DPT, ATC
• Zena Katrin Capko, DPT
• Capron Family Dental PC

• Chiropractor in Hamilton, MT
• Providers in Hamilton, MT by specialty
• Chiropractor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.