Organization Active NPI

Western Plains Chiropractic, LLC

  • Chiropractor
  • Gillette, WY
National Provider Identifier
1548680440
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
744 Issued in WY
Legal business name
WESTERN PLAINS CHIROPRACTIC, LLC
Practice address
900 Ez St Ste 120
Gillette, WY 82718-5969
Phone
(307) 682-6650
Fax
(307) 682-1814
NPI assigned
Apr 18, 2014
Last updated
Oct 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Authorized official

Name
Miles Fortner, D.C.NPI 1619393709
Title
Sole Member
Phone
(307) 682-6650

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 744 WY Primary

Addresses

Primary practice location

900 Ez St Ste 120
Gillette, WY 82718-5969

Mailing address

900 Ez St Ste 120
Gillette, WY 82718-5969
Phone (307) 682-6650

National Provider Directory

National Provider Directory

Locations

900 Ez St
Ste 120
Gillette, WY 82718
Phone (307) 682-6650

439 Prairieview Dr
Ste D
Gillette, WY 82716
Phone (307) 682-6650

Practitioners & affiliated clinicians

Practitioners 2

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": "1397779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1548680440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 EZ ST STE 120",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185969",
            "telephone_number": "307-682-6650",
            "fax_number": "307-682-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 EZ ST STE 120",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185969",
            "telephone_number": "307-682-6650",
            "fax_number": "307-682-1814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN PLAINS CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-18",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "FORTNER",
        "authorized_official_first_name": "MILES",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "307-682-6650",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WY",
            "license": "744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillette, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.