Active NPI
Randall Scott Hultgren, DC
- Orthopedic Chiropractor
- Billings, MT
National Provider Identifier
1225115116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- 30-431
- Practice address
- 944 Ave B
Billings, MT 59102-3346 - Phone
- (406) 259-1250
- Fax
- (406) 259-5043
- NPI assigned
- Nov 1, 2006
- 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 |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | 30-431 | MT | Primary |
Addresses
Primary practice location
944 Ave B
Billings, MT 59102-3346
Mailing address
944 Ave B
Billings, MT 59102-3346
Phone (406) 259-1250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160329 | Medicaid | MT |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30-431 | MT | MD | Orthopedic Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225115116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "944 AVE B",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591023346",
"telephone_number": "406-259-1250",
"fax_number": "406-259-5043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "944 AVE B",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591023346",
"telephone_number": "406-259-1250",
"fax_number": "406-259-5043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULTGREN",
"first_name": "RANDALL",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "MT",
"license": "30-431",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "160329",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Billings, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.