Organization Active NPI

Platte Valley Chiropractic, Inc.

  • Chiropractor
  • Saratoga, WY
National Provider Identifier
1316437577
Registry record updated May 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
680 Issued in WY
Legal business name
PLATTE VALLEY CHIROPRACTIC, INC.
Doing business as
Platte Valley Chiropractic, Inc.
Practice address
106 W Rochester Ave
Saratoga, WY 82331
Phone
(307) 326-3324
NPI assigned
May 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2018

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

Authorized official

Name
Kendra SimsNPI 1730342452
Title
Owner
Phone
(307) 326-3324

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 680 WY Primary

Addresses

Primary practice location

106 W Rochester Ave
Saratoga, WY 82331

Mailing address

3 Wildwood Rd
McFadden, WY 82083-9000

Other names 1

  • Platte Valley Chiropractic, Inc. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180524002578 WY Part B Supplier - Clinic/Group Practice 8921363862 Receives reassigned benefits from 1 practitioner
Practice locations: Saratoga, WY

National Provider Directory

National Provider Directory

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": "1526256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526256000000",
    "number": "1316437577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WILDWOOD RD",
            "city": "MCFADDEN",
            "state": "WY",
            "postal_code": "820839000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W ROCHESTER AVE",
            "city": "SARATOGA",
            "state": "WY",
            "postal_code": "82331",
            "telephone_number": "307-326-3324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATTE VALLEY CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-14",
        "last_updated": "2018-05-14",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-326-3324"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WY",
            "license": "680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Platte Valley Chiropractic, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Platte Valley Chiropractic, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saratoga, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; 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.