Individual provider Active NPI

Amy D Thomas, D.C.

  • Chiropractor
  • Bozeman, MT
National Provider Identifier
1215090238
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1102 Issued in MT
Practice address
1924 W Stevens St
Suite 101
Bozeman, MT 59718-7043
Phone
(406) 556-0307
Fax
(406) 556-0310
NPI assigned
Dec 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1102 MT Primary

Addresses

Primary practice location

1924 W Stevens St
Suite 101
Bozeman, MT 59718-7043

Mailing address

1924 W Stevens St
Suite 101
Bozeman, MT 59718-7043
Phone (406) 556-0307

Other identifiers 1

IdentifierTypeStateIssuer
41243OtherMTBLUE CROSS BLUE SHIELD #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130813000562 OK Practitioner - Chiropractic 4880641919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Granite County Hospital DistrictGroup PAC ID 3678480423, shared by 4 NPIs, 10 clinicians

Practice addresses (Care Compare)

PO Box
Philipsburg, MT 59858-0729

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1102MTMDSpeech-Language Pathologist
4111OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Wellness, Inc. Chiropractor CurrentSince Jun 1, 2013 Accepting new patients
Schweitzer Chiropractic PC Chiropractor Past Accepting new patients
Thomas Family Chiropractic, Inc. Chiropractor PastSince Dec 2, 2004 Accepting new patients

Locations

425 E 22nd St
Ste 102
Owasso, OK 74055
Phone (918) 376-4117

9500 N 129th East Ave
Ste 109
Owasso, OK 74055
Phone (918) 376-4117

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215090238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 W STEVENS ST",
            "address_2": "SUITE 101",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597187043",
            "telephone_number": "406-556-0307",
            "fax_number": "406-556-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 W STEVENS ST",
            "address_2": "SUITE 101",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597187043",
            "telephone_number": "406-556-0307",
            "fax_number": "406-556-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "AMY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "1102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD #",
            "identifier": "41243",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.