Individual provider Active NPI

Adam G Pisk, D.C.

  • Chiropractor
  • Kalispell, MT
National Provider Identifier
1467800698
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHI-CHI-LIC-4002 Issued in MT
Practice address
178 2ND Avenue East N
Kalispell, MT 59901-4103
Phone
(406) 257-5011
Fax
(406) 755-5750
NPI assigned
May 27, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2016

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-4002 MT Primary

Addresses

Primary practice location

178 2ND Avenue East N
Kalispell, MT 59901-4103

Mailing address

178 2ND Avenue East N
Kalispell, MT 59901-4103
Phone (406) 257-5011

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160713001725 MT Practitioner - Chiropractic 3476845348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pisk Chiropractic and Physiotherapy PCGroup PAC ID 4385745744, 3 clinicians

Practice addresses (Care Compare)

178 2ND Ave E N
Kalispell, MT 59901-4112
Phone (406) 257-5011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHI-CHI-LIC-4002MTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pisk Chiropractic & Physiotherapy PC Chiropractor CurrentSince Jun 1, 2016 Accepting new patients
Two Sparrows Family Chiropractic & Wellness LLC Chiropractor CurrentSince Dec 29, 2019 Accepting new patients

Locations

178 2nd Avenue East N
Kalispell, MT 59901
Phone (406) 257-5011

559 Edgewood Pl
Whitefish, MT 59937
Phone (406) 730-8569

Organizations & group practices 2

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": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1467800698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 2ND AVENUE EAST N",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014103",
            "telephone_number": "406-257-5011",
            "fax_number": "406-755-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 2ND AVENUE EAST N",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014103",
            "telephone_number": "406-257-5011",
            "fax_number": "406-755-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISK",
        "first_name": "ADAM",
        "middle_name": "G",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "CHI-CHI-LIC-4002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; 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.