Active NPI
Dale A Speiser, D.C.
- Nutrition Chiropractor
- Deer Lodge, MT
National Provider Identifier
1497809552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 1080CHI
- Practice address
- 304 Milwaukee Ave
Deer Lodge, MT 59722-1085 - Phone
- (406) 846-9545
- Fax
- (406) 846-9545
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 1080CHI | MT | Primary |
Addresses
Primary practice location
304 Milwaukee Ave
Deer Lodge, MT 59722-1085
Mailing address
304 Milwaukee Ave
Deer Lodge, MT 59722-1085
Phone (406) 846-9545
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1080CHI | Other | MT | CHIROPRACTIC LICENCE |
| 287218-1202 | Other | UT | CHIROPRACTIC LICENCE |
| 2514 | Other | OH | CHIROPRACTIC LICENCE |
| 2658 | Other | WA | CHIROPRACTIC LICENCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1080CHI | MT | MD | Nutrition Chiropractor |
| 1080 | MT | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dale a. Speiser, DC Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497809552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 MILWAUKEE AVE",
"city": "DEER LODGE",
"state": "MT",
"postal_code": "597221085",
"telephone_number": "406-846-9545",
"fax_number": "406-846-9545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 MILWAUKEE AVE",
"city": "DEER LODGE",
"state": "MT",
"postal_code": "597221085",
"telephone_number": "406-846-9545",
"fax_number": "406-846-9545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEISER",
"first_name": "DALE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "MT",
"license": "1080CHI",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTIC LICENCE",
"identifier": "1080CHI",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTIC LICENCE",
"identifier": "287218-1202",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTIC LICENCE",
"identifier": "2514",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTIC LICENCE",
"identifier": "2658",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Deer Lodge, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.