Materi Chiropractic Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

579 Issued in WY

Legal business name

MATERI CHIROPRACTIC CENTER, LLC

Practice address

207 Main St
Sundance, WY 82729-0971

Phone

(307) 283-4040

Fax

(307) 283-4041

NPI assigned

Mar 29, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Dustin R Materi, DC

Title

Owner

Phone

(307) 283-4040

Specialties & licenses 1

Addresses

Practitioners 1

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

• Bryton D Materi, D.C

  • Chiropractor
  • Sundance, WY
  • NPI 1316658545
  NPD (past)

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1366718751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 MAIN ST",
            "address_2": "BOX 971",
            "city": "SUNDANCE",
            "state": "WY",
            "postal_code": "827290971",
            "telephone_number": "307-283-4040",
            "fax_number": "307-283-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 MAIN ST",
            "city": "SUNDANCE",
            "state": "WY",
            "postal_code": "827290971",
            "telephone_number": "307-283-4040",
            "fax_number": "307-283-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATERI CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "MATERI",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-283-4040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WY",
            "license": "579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James C. Larsen, MD
• Joni Joyce Latham
• Penny Lepley, CMT, CNHP
• Kathy Loveland
• Micki Dahne Lyons, NP-C
• Bryton D Materi, D.C
• Daniel Patrick Nolan, D.D.S.
• North Platte Physical Therapy Services Inc
• Brenda Robbins
• Robin Seeley Case Management, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.