Individual provider Active NPI

Rachel JM Rising, D.C.

  • Chiropractor
  • Bozeman, MT
National Provider Identifier
1417285396
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1217 Issued in MT
Practice address
626 S Ferguson Ave
Suite 4
Bozeman, MT 59718-6408
Phone
(406) 555-1217
Fax
(406) 551-2179
NPI assigned
Dec 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1217 MT Primary

Addresses

Primary practice location

626 S Ferguson Ave
Suite 4
Bozeman, MT 59718-6408

Mailing address

626 S Ferguson Ave
Suite 4
Bozeman, MT 59718-6408
Phone (406) 555-1217

Other identifiers 1

IdentifierTypeStateIssuer
1417285396OtherNPI

Other names 1

  • Rachel Jeanne Marie Lacroix Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100106000672 MT Practitioner - Chiropractic 5799826244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gallatin Valley Chiropractic P.L.L.CGroup PAC ID 8325181316, 4 clinicians

Practice addresses (Care Compare)

626 S Ferguson Ave
Suite 5
Bozeman, MT 59718-6409
Phone (406) 551-2177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1217MTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gallatin Valley Chiropractic, LLC Chiropractor CurrentSince Feb 23, 2013 Accepting new patients
Morrell Spine & Sport Chiropractor PastSince Feb 1, 2024 Accepting new patients
Prochiropractic, PC Chiropractor PastSince Dec 21, 2015 Accepting new patients

Locations

626 S Ferguson Ave
Ste 4
Bozeman, MT 59718
Phone (406) 209-9345

626 S Ferguson Ave
Ste 5
Bozeman, MT 59718
Phone (406) 551-2177

Organizations & group practices 3

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": "1259798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361232000000",
    "number": "1417285396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 S FERGUSON AVE",
            "address_2": "SUITE 4",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186408",
            "telephone_number": "406-555-1217",
            "fax_number": "406-551-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 S FERGUSON AVE",
            "address_2": "SUITE 4",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186408",
            "telephone_number": "406-555-1217",
            "fax_number": "406-551-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISING",
        "first_name": "RACHEL",
        "middle_name": "JM",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-03",
        "last_updated": "2013-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "1217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1417285396",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "LACROIX",
            "middle_name": "JEANNE MARIE",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.