NPIMap

Organization Active NPI

Western Montana Spine & Injury Clinic PLLC

  • Preferred Provider Organization
  • Missoula, MT
National Provider Identifier
1487942058
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
1219 Issued in MT
Legal business name
WESTERN MONTANA SPINE & INJURY CLINIC PLLC
Practice address
2409 Dearborn Ave
Suite I
Missoula, MT 59801-7586
Phone
(406) 541-7763
NPI assigned
Jul 18, 2011
Last updated
Aug 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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

Authorized official

Name
Dr. Christopher Lee Moore, D.C.
Title
Owner
Phone
(406) 541-7763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 1219 MT Primary

Addresses

Primary practice location

2409 Dearborn Ave
Suite I
Missoula, MT 59801-7586

Mailing address

2409 Dearborn Ave
Suite I
Missoula, MT 59801-7586

National Provider Directory

National Provider Directory

Locations

2409 Dearborn Ave
Ste I
Missoula, MT 59801
Phone (406) 240-9832

Practitioners & affiliated clinicians

Practitioners 6

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": "1310947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1487942058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 DEARBORN AVE",
            "address_2": "SUITE I",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598017586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 DEARBORN AVE",
            "address_2": "SUITE I",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598017586",
            "telephone_number": "406-541-7763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MONTANA SPINE & INJURY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-18",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-541-7763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MT",
            "license": "1219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.