Active NPI
Cwip LLC
- Mammography Clinic/Center
- Cheyenne, WY
National Provider Identifier
1154774529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mammography Clinic/Center
- Legal business name
- CWIP LLC
- Practice address
- 2003 Bluegrass Cir
Cheyenne, WY 82009-7329 - Phone
- (307) 634-7711
- Fax
- (307) 634-4167
- NPI assigned
- Jul 20, 2016
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mr. David Haid
- Title
- Ceo
- Phone
- (307) 633-8963
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161010000699 | WY | Part B Supplier - Clinic/Group Practice | 0840588752 |
Receives reassigned benefits from 9 practitioners Practice locations: Cheyenne, WY |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mammography Clinic/Center | 261QR0206X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2003 Bluegrass Cir
Cheyenne, WY 82009-7329
Mailing address
2003 Bluegrass Cir
Cheyenne, WY 82009-7329
Phone (307) 634-7711
Other names 1
NPPES NPI Registry- Cheyenne Women's Imaging Pavilion
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 18, 2025.
{
"created_epoch": "1468972800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755475200000",
"number": "1154774529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2003 BLUEGRASS CIR",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820097329",
"telephone_number": "307-634-7711",
"fax_number": "307-634-4167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2003 BLUEGRASS CIR",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820097329",
"telephone_number": "307-634-7711",
"fax_number": "307-634-4167"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CWIP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-20",
"last_updated": "2025-08-18",
"certification_date": "2025-08-18",
"status": "A",
"authorized_official_last_name": "HAID",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "307-633-8963",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0206X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mammography",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cheyenne Women's Imaging Pavilion",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.