Organization Active NPI

Pursue Wellness Chiropractic LLC

  • Chiropractor
  • Bozeman, MT
National Provider Identifier
1437668449
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHI-CHI-LIC-4595 Issued in MT
Legal business name
PURSUE WELLNESS CHIROPRACTIC LLC
Practice address
2407 W Main St Ste 102
Bozeman, MT 59718-4112
Phone
(712) 729-3989
NPI assigned
Sep 21, 2017
Last updated
Nov 14, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Authorized official

Name
Dr. Jacob Boll, DC
Title
Owner
Phone
(406) 624-6404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CHI-CHI-LIC-4595 MT Primary

Addresses

Primary practice location

2407 W Main St Ste 102
Bozeman, MT 59718-4112

Mailing address

2407 W Main St Ste 102
Bozeman, MT 59718-4112

Other identifiers 1

IdentifierTypeStateIssuer
1861935173MedicaidIA

National Provider Directory

National Provider Directory

Locations

2407 W Main St
Ste 102
Bozeman, MT 59718
Phone (406) 577-2346

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542153600000",
    "number": "1437668449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 W MAIN ST STE 102",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597184112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 W MAIN ST STE 102",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597184112",
            "telephone_number": "712-729-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURSUE WELLNESS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-21",
        "last_updated": "2018-11-14",
        "status": "A",
        "authorized_official_last_name": "BOLL",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-624-6404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "CHI-CHI-LIC-4595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861935173",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Nov 14, 2018; 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.