Active NPI
Patrick Michael Quinn Jr., DC
- Nutrition Chiropractor
- Cheyenne, WY
National Provider Identifier
1174836290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 702
- Practice address
- 520 Randall Ave
Cheyenne, WY 82001-2745 - Phone
- (307) 433-8853
- NPI assigned
- Jul 18, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 702 | WY | Primary |
Addresses
Primary practice location
520 Randall Ave
Cheyenne, WY 82001-2745
Mailing address
2815 Reed Avenue
Cheyenne, WY 82001
Phone (717) 917-3082
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 702 | WY | MD | Nutrition Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alton J. Krenzelok D C P C | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Cheyenne, WY
- NPI 1255471835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283731200000",
"number": "1174836290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2815 REED AVENUE",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "82001",
"telephone_number": "717-917-3082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 RANDALL AVE",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820012745",
"telephone_number": "307-433-8853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINN",
"first_name": "PATRICK",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-18",
"last_updated": "2010-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "WY",
"license": "702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Sep 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.