Van Chiropractic Clinic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

645 Issued in MT

Legal business name

VAN CHIROPRACTIC CLINIC, PC

Practice address

1644 Broadwater Ave
Billings, MT 59102-5004

Phone

(406) 656-7000

Fax

(406) 656-8729

NPI assigned

Mar 15, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Grey Charles Gardner, DCNPI 1750339164

Title

Owner

Phone

(406) 656-7000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Grey Charles Gardner, DC

  • Chiropractor
  • Billings, MT
  • NPI 1750339164
  Medicare reassignment NPD Authorized official
• Tegan Fochs, LMT

  • Specialist
  • Billings, MT
  • NPI 1427823152
  NPD
• Jason Aguayo, D.C.

  • Chiropractor
  • Billings, MT
  • NPI 1639117286
  NPD (past)
• Lisa Burdick

  • Massage Therapist
  • Billings, MT
  • NPI 1710397328
  NPD (past)
• Shayne Michael Durbin, DC

  • Chiropractor
  • Billings, MT
  • NPI 1801421672
  NPD (past)
• Jennifer Leigh Harris, LMT

  • Massage Therapist
  • Billings, MT
  • NPI 1841628567
  NPD (past)
• Josie Lafond, LMT

  • Massage Therapist
  • Billings, MT
  • NPI 1942966254
  NPD (past)
• Chrissandra Ann Snider, LMT

  • Massage Therapist
  • Billings, MT
  • NPI 1851637953
  NPD (past)
• Richard I Vande Veegaete, D.C.

  • Chiropractor
  • Billings, MT
  • NPI 1730260506
  NPD (past)
• Tavia Faith Watson, LMT

  • Massage Therapist
  • Billings, MT
  • NPI 1679138887
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295869998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1644 BROADWATER AVE",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591025004",
            "telephone_number": "406-656-7000",
            "fax_number": "406-656-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1644 BROADWATER AVE",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591025004",
            "telephone_number": "406-656-7000",
            "fax_number": "406-656-8729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN CHIROPRACTIC CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "GREY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-656-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tami Van Beck, LMT
• Cynthia A. Van Beek, M.A. CCC-SLP
• Kyli Jaymes Van Dusen, LAC
• Mariah Vanaken Gipson
• Shannon Harris Vanantwerp, PA-C
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• Chiropractor in Billings, MT
• Providers in Billings, MT by specialty
• Chiropractor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.