Organization Active NPI

Healing Element Chiropractic LLC

  • Primary Care Clinic/Center
  • Riverton, WY
National Provider Identifier
1396801908
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
645 Issued in WY
Legal business name
HEALING ELEMENT CHIROPRACTIC LLC
Practice address
621 N 10TH St E
Riverton, WY 82501-2906
Phone
(307) 856-6612
Fax
(307) 856-1767
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Authorized official

Name
Jonathan L. Faubion, D.C.NPI 1386792737
Title
Officer
Phone
(307) 856-6612

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 645 WY Primary

Addresses

Primary practice location

621 N 10TH St E
Riverton, WY 82501-2906

Mailing address

PO Box 1457
Riverton, WY 82501-0160
Phone (307) 856-6612

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070807000608 WY Part B Supplier - Clinic/Group Practice 7810088721 Receives reassigned benefits from 2 practitioners
Practice locations: Riverton, WY

National Provider Directory

National Provider Directory

Locations

910 N 8th St W
Riverton, WY 82501
Phone (307) 462-2770

604 W Main St
Riverton, WY 82501
Phone (307) 856-8800

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1396801908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1457",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825010160",
            "telephone_number": "307-856-6612",
            "fax_number": "307-856-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 N 10TH ST E",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825012906",
            "telephone_number": "307-856-6612",
            "fax_number": "307-856-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING ELEMENT CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "FAUBION",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "307-856-6612",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WY",
            "license": "645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.