Organization Active NPI

Cheyenne Family Chiropractic, P.C.

  • Chiropractor
  • Cheyenne, WY
National Provider Identifier
1295069888
Registry record updated Sep 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
520 Issued in WY
Legal business name
CHEYENNE FAMILY CHIROPRACTIC, P.C.
Practice address
1439 Stillwater Ave
Ste. 5
Cheyenne, WY 82009-7367
Phone
(307) 634-8011
NPI assigned
Sep 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2009

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

Authorized official

Name
Mrs. Anne E Smith
Title
Cfo
Phone
(307) 634-8011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 520 WY Primary

Addresses

Primary practice location

1439 Stillwater Ave
Ste. 5
Cheyenne, WY 82009-7367

Mailing address

1439 Stillwater Ave
Ste. 5
Cheyenne, WY 82009-7367
Phone (307) 634-8011

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091201000301 WY Part B Supplier - Clinic/Group Practice 6800935081 Receives reassigned benefits from 1 practitioner
Practice locations: Cheyenne, WY

National Provider Directory

National Provider Directory

Locations

1439 Stillwater Ave
Ste 5
Cheyenne, WY 82009
Phone (307) 634-8011

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1295069888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1439 STILLWATER AVE",
            "address_2": "STE. 5",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820097367",
            "telephone_number": "307-634-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1439 STILLWATER AVE",
            "address_2": "STE. 5",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820097367",
            "telephone_number": "307-634-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEYENNE FAMILY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "307-634-8011",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WY",
            "license": "520",
            "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 29, 2009; 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.

Verify at the official NPI Registry.