Organization Active NPI

Wyoming Clinic of Chiropractic LC

  • Chiropractor
  • Sheridan, WY
National Provider Identifier
1588149983
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WYOMING CLINIC OF CHIROPRACTIC LC
Practice address
528 Coffeen Ave
Sheridan, WY 82801-5312
Phone
(307) 461-2716
NPI assigned
Oct 1, 2018
Last updated
Oct 1, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
WYOMING CLINIC OF CHIROPRACTIC LCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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

Authorized official

Name
Dr. Collin Drew Redinger, DCNPI 1811471220
Title
Chiropractor
Phone
(307) 461-2716

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

528 Coffeen Ave
Sheridan, WY 82801-5312

Mailing address

528 Coffeen Ave
Sheridan, WY 82801-5312
Phone (307) 461-2716

Other identifiers 1

IdentifierTypeStateIssuer
785OtherWYSTATE LICENSE NUMBER

National Provider Directory

National Provider Directory
Part of
Wyoming Clinic of Chiropractic LC

Practitioners & affiliated clinicians

Practitioners 1

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": "1538352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538352000000",
    "number": "1588149983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 COFFEEN AVE",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015312",
            "telephone_number": "307-461-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 COFFEEN AVE",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015312",
            "telephone_number": "307-461-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING CLINIC OF CHIROPRACTIC LC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WYOMING CLINIC OF CHIROPRACTIC LC",
        "enumeration_date": "2018-10-01",
        "last_updated": "2018-10-01",
        "status": "A",
        "authorized_official_last_name": "REDINGER",
        "authorized_official_first_name": "COLLIN",
        "authorized_official_middle_name": "DREW",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "307-461-2716",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "785",
            "state": "WY"
        }
    ],
    "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 Oct 1, 2018; 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.