Organization Active NPI

Deines Chiropractic, LLC

  • Health Service Clinic/Center
  • Sheridan, WY
National Provider Identifier
1508138470
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
717 Issued in WY
Legal business name
DEINES CHIROPRACTIC, LLC
Practice address
25 E Alger St
Sheridan, WY 82801-3911
Phone
(307) 673-5075
Fax
(370) 673-5085
NPI assigned
Feb 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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

Authorized official

Name
Dr. Nate Deines, D.C.
Title
Owner
Phone
(307) 673-5075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 717 WY Primary

Addresses

Primary practice location

25 E Alger St
Sheridan, WY 82801-3911

Mailing address

25 E Alger St
Sheridan, WY 82801-3911
Phone (307) 673-5075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120302000530 WY Part B Supplier - Clinic/Group Practice 6406015981 Receives reassigned benefits from 1 practitioner
Practice locations: Sheridan, WY

National Provider Directory

National Provider Directory

Locations

25 E Alger St
Sheridan, WY 82801
Phone (307) 673-5075

1821 S Sheridan Ave
Unit A
Sheridan, WY 82801
Phone (307) 673-5075

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1508138470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E ALGER ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013911",
            "telephone_number": "307-673-5075",
            "fax_number": "370-673-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E ALGER ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013911",
            "telephone_number": "307-673-5075",
            "fax_number": "370-673-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEINES CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-07",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "DEINES",
        "authorized_official_first_name": "NATE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-673-5075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WY",
            "license": "717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; 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.