Stone Gate Chiropractic – Chiropractor

Key facts

NPI: 1477817344
Entity type: Organization (NPI type 2)
Primary specialty: Chiropractor 111N00000X
License: 1259 (MT)
Legal business name: STONE GATE CHIROPRACTIC
Practice address: 503 Scott St Unit 1
Gardiner, MT 59030-7769
Phone: (406) 425-2421
NPI assigned: Jun 26, 2012
Organization subpart: No

Authorized official

Name: Dr. Carson Charles Durr, D.C.
Title: Owner/Chiropractic Physician
Phone: (406) 425-2421

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Chiropractor Group: 193400000X SINGLE SPECIALTY GROUP	111N00000X	1259	MT	Yes

Addresses

Primary practice location

503 Scott St Unit 1
Gardiner, MT 59030-7769

Mailing address

PO Box 668
Gardiner, MT 59030-0668

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 30, 2012.

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1477817344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 668",
            "city": "GARDINER",
            "state": "MT",
            "postal_code": "590300668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 SCOTT ST UNIT 1",
            "city": "GARDINER",
            "state": "MT",
            "postal_code": "590307769",
            "telephone_number": "406-425-2421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE GATE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "DURR",
        "authorized_official_first_name": "CARSON",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "406-425-2421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "1259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardiner, MT

All providers in Gardiner, MT · Chiropractor in Montana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2012. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.