NPIMap

Organization Active NPI

D Fraker Inc

Doing business as Wellness Worx

  • Chiropractor
  • Bozeman, MT
National Provider Identifier
1508040437
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1015 Issued in MT
Legal business name
D FRAKER INC
Doing business as
Wellness Worx
Practice address
2622 W Main St
Ste B
Bozeman, MT 59718-3967
Phone
(406) 587-9679
Fax
(406) 587-9679
NPI assigned
Dec 27, 2007
Last updated
Jun 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Authorized official

Name
Dr. Dustin M Fraker, D.C.NPI 1306900014
Title
President
Phone
(406) 587-9679

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1015 MT Primary

Addresses

Primary practice location

2622 W Main St
Ste B
Bozeman, MT 59718-3967

Mailing address

2622 W Main St
Suite B
Bozeman, MT 59718-3967
Phone (406) 587-9679

Other names 1

  • Wellness Worx Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309219200000",
    "number": "1508040437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2622 W MAIN ST",
            "address_2": "SUITE B",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597183967",
            "telephone_number": "406-587-9679",
            "fax_number": "406-587-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2622 W MAIN ST",
            "address_2": "STE B",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597183967",
            "telephone_number": "406-587-9679",
            "fax_number": "406-587-9679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D FRAKER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2011-06-28",
        "status": "A",
        "authorized_official_last_name": "FRAKER",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-587-9679",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "1015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Worx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 28, 2011; 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.