Medicine Hands Wellness, PC

Primary specialty

Pediatric ChiropractorTaxonomy code 111NP0017X

License

CHI-CHI-LIC-1817 Issued in MT

Legal business name

MEDICINE HANDS WELLNESS, PC

Practice address

1276 N 15TH Ave
Suite 104
Bozeman, MT 59715-3289

Phone

(406) 587-6264

Fax

(406) 587-3556

NPI assigned

May 19, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Morgan Kaye Waterstraat Woods, DC

Title

Owner

Phone

(406) 587-6264

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1376922781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1276 N 15TH AVE",
            "address_2": "SUITE 104",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153289",
            "telephone_number": "406-587-6264",
            "fax_number": "406-587-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 N 15TH AVE",
            "address_2": "SUITE 104",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153289",
            "telephone_number": "406-587-6264",
            "fax_number": "406-587-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE HANDS WELLNESS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_middle_name": "KAYE WATERSTRAAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-587-6264",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "MT",
            "license": "CHI-CHI-LIC-1817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "CHI-CHI-LIC-1817",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "M011003351",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - INDIVIDUAL",
            "identifier": "1952675431",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.