D Fraker Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1015 Issued in MT

Legal business name

D FRAKER INC

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

Organization subpart

No

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.

Title

President

Phone

(406) 587-9679

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Wellness Worx Doing business as

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Charles Dalgardno, D.C.

  • Chiropractor
  • Bozeman, MT
  • NPI 1679866164
  NPD
• Wade Anthony Darr, DC

  • Chiropractor
  • Bozeman, MT
  • NPI 1003972571
  NPD
• Brian Chinn, D.C.

  • Chiropractor
  • Ooltewah, TN
  • NPI 1124446174
  NPD
• Polly Vandiver, LMT

  • Massage Therapist
  • Bozeman, MT
  • NPI 1336680420
  NPD (past)

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0164288",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "40483",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "000082422",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350054790",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Worx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Tiffany Parker D'Ambrosio-Day
• Christopher Ryan D'Ardenne, M.D.
• Timothy D'Arpino, PT, DPT
• Dorothy M. Dacar, LCPC

• All providers in Bozeman, MT
• Chiropractor in Montana

• 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.