Individual provider Active NPI

Justin Curtis Stilson, D.C.

  • Chiropractor
  • Great Falls, MT
National Provider Identifier
1376007187
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHI-CHI-LIC-5586 Issued in MT
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

Updated by the provider on Jan 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200430001336 MT Practitioner - Chiropractic 4284064403 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
CHI-CHI-LIC-5586MTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Activated Life Chiropractic and Wellness PLLC CurrentSince Dec 31, 2019 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.

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.

Verify at the official NPI Registry.