Faubion Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

602 Issued in WY

Legal business name

FAUBION CHIROPRACTIC PC

Practice address

405 W Boxelder Rd
Suite A1
Gillette, WY 82718-5320

Phone

(307) 685-2225

Fax

(307) 685-6436

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Jack E Faubion, DCNPI 1255493854

Title

President

Phone

(307) 685-2225

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Jack E Faubion, DC

  • Chiropractor
  • Gillette, WY
  • NPI 1255493854
  NPD (past) Authorized official

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316159080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W BOXELDER RD",
            "address_2": "SUITE A1",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185320",
            "telephone_number": "307-685-2225",
            "fax_number": "307-685-6436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W BOXELDER RD",
            "address_2": "SUITE A1",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185320",
            "telephone_number": "307-685-2225",
            "fax_number": "307-685-6436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAUBION CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAUBION",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-685-2225",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WY",
            "license": "602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "311379",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craig Dean Falkman, M.A., L.P.C.
• David Robert Fall, M.D.
• Julie Shibata Fall, M.D.
• Family Medical Care LLC
• Brittany J Farella, PT
• Jack E Faubion, DC
• Kimberly Faucett, RPH
• Mary Jane Fay
• Coleen Ann Ferguson
• Whitney Fevold, FNP

• Chiropractor in Gillette, WY
• Providers in Gillette, WY by specialty
• Chiropractor in Wyoming

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.