Foothills Chiropractic Center, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

437 Issued in MT

Legal business name

FOOTHILLS CHIROPRACTIC CENTER, PC

Practice address

1001 SW Higgins Ave
Suite 102
Missoula, MT 59803-1341

Phone

(406) 721-4425

Fax

(406) 721-4426

NPI assigned

Sep 16, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Ray Prideaux, DC

Title

President

Phone

(406) 721-4425

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1194033720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SW HIGGINS AVE",
            "address_2": "SUITE 102",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598031341",
            "telephone_number": "406-721-4425",
            "fax_number": "406-721-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SW HIGGINS AVE",
            "address_2": "SUITE 102",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598031341",
            "telephone_number": "406-721-4425",
            "fax_number": "406-721-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILLS CHIROPRACTIC CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "PRIDEAUX",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-721-4425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.

Verify at the official NPI Registry.