Active NPI
Philip P Guignard, DC
- Chiropractor
- Missoula, MT
National Provider Identifier
1366778003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1216
- Practice address
- 410 W Spruce St
Missoula, MT 59802-4106 - Phone
- (406) 549-0119
- NPI assigned
- Oct 31, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1216 | MT | Primary |
Addresses
Primary practice location
410 W Spruce St
Missoula, MT 59802-4106
Mailing address
410 W Spruce St
Missoula, MT 59802-4106
Phone (406) 549-0119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1216 | MT | MD | Sports Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256947200000",
"number": "1366778003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 W SPRUCE ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024106",
"telephone_number": "406-549-0119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 W SPRUCE ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024106",
"telephone_number": "406-549-0119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUIGNARD",
"first_name": "PHILIP",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-31",
"last_updated": "2009-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MT",
"license": "1216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.