Mountain View Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

786 Issued in MT

Legal business name

MOUNTAIN VIEW CHIROPRACTIC PC

Practice address

1520 3Rd Street North West
Suite E
Great Falls, MT 59404

Phone

(406) 727-5757

Fax

(406) 727-7006

NPI assigned

Dec 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jerald Dale Wiley, DCNPI 1528123130

Title

President Owner

Phone

(406) 727-5757

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

Practitioners 1

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

• Jerald Dale Wiley, DC

  • Chiropractor
  • Great Falls, MT
  • NPI 1528123130
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1508049537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 363",
            "city": "VAUGHN",
            "state": "MT",
            "postal_code": "59487",
            "telephone_number": "406-727-5757",
            "fax_number": "406-727-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 3RD STREET NORTH WEST",
            "address_2": "SUITE E",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "59404",
            "telephone_number": "406-727-5757",
            "fax_number": "406-727-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "JERALD",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "406-727-5757",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00040903",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dale R Mortenson, MD, FACS
• Rachel Mosley
• Russell Charles Motschenbacher, APRN
• Mountain Therapy, LLC
• Mountain View Access and Mobility Inc.
• Mountain View Pathology Associates
• Mountain View Pathology Associates PLLC
• Mountain View Pediatric Dentistry
• Mountain View Physical Therapy and Sports Injury Clinic, Inc
• Teresa Marie Mouser, LCPC

• Chiropractor in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Chiropractor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.