Individual provider Active NPI

Lynda L Purdy, DC.

  • Chiropractor
  • Kalispell, MT
National Provider Identifier
1306942149
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
917 Issued in MT
Practice address
248 3Rd Ave E
Kalispell, MT 59901-4532
Phone
(406) 755-1113
Fax
(406) 260-4021
NPI assigned
Sep 16, 2006
Last updated
Mar 20, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 917 MT Primary

Addresses

Primary practice location

248 3Rd Ave E
Kalispell, MT 59901-4532

Mailing address

248 3Rd Ave E
Kalispell, MT 59901-4532
Phone (406) 755-1113

Other identifiers 3

IdentifierTypeStateIssuer
0000162863MedicaidMT
162860MedicaidMT
42101OtherMTBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110406000233 MT Practitioner - Chiropractic 1355525965 Reassigns benefits to 1 organization
Practice locations: Kalispell, MT

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

248 3Rd Ave E
Kalispell, MT 59901-4532
Phone (406) 755-1113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
917MTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Chiropractic, Inc CurrentSince Apr 2, 2012 Accepting new patients

Locations

248 3rd Ave E
Kalispell, MT 59901
Phone (406) 755-1113

847 W Center St
Kalispell, MT 59901
Phone (406) 314-3111

Organizations & group practices 1

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1306942149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 3RD AVE E",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014532",
            "telephone_number": "406-755-1113",
            "fax_number": "406-260-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 3RD AVE E",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014532",
            "telephone_number": "406-755-1113",
            "fax_number": "406-260-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURDY",
        "first_name": "LYNDA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000162863",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162860",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "42101",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.