Active NPI
Justin Curtis Stilson, D.C.
- Chiropractor
- Great Falls, MT
National Provider Identifier
1376007187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHI-CHI-LIC-5586
- Practice address
- 1301 12TH Ave S Ste 203
Great Falls, MT 59405-4600 - Phone
- (406) 770-3800
- Fax
- (406) 770-3802
- NPI assigned
- Jan 25, 2019
- 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 | CHI-CHI-LIC-5586 | MT | Primary |
Addresses
Primary practice location
1301 12TH Ave S Ste 203
Great Falls, MT 59405-4600
Mailing address
1301 12TH Ave S Ste 203
Great Falls, MT 59405-4600
Phone (406) 770-3800
Other names 1
- Dr. Justin Curtis Stilson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1301 12TH Ave S
Suite 203
Great Falls, MT 59405-4600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHI-CHI-LIC-5586 | MT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Activated Life Chiropractic and Wellness PLLC | Current | Accepting new patients |
Locations
1301 12th Ave S
Ste 203
Great Falls, MT 59405
Phone (406) 727-6680
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 and National Provider Directory roles.
-
- Health Service Clinic/Center
- Great Falls, MT
- NPI 1992360614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548374400000",
"number": "1376007187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 12TH AVE S STE 203",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594054600",
"telephone_number": "406-770-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 12TH AVE S STE 203",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594054600",
"telephone_number": "406-770-3800",
"fax_number": "406-770-3802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STILSON",
"first_name": "JUSTIN",
"middle_name": "CURTIS",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-25",
"last_updated": "2019-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MT",
"license": "CHI-CHI-LIC-5586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JUSTIN",
"last_name": "STILSON",
"middle_name": "CURTIS",
"prefix": "DR.",
"credential": "JUSTIN STILSON D.C.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Great Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; 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.