Active NPI
Wyoming Clinic of Chiropractic LC
- Chiropractor
- Sheridan, WY
National Provider Identifier
1588149983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- 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, 2018
- Organization subpart
- Yes
- Parent organization
- WYOMING CLINIC OF CHIROPRACTIC LC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Collin Drew Redinger, DC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 785 | Other | WY | STATE 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.
-
- Chiropractor
- Sheridan, WY
- NPI 1811471220
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
- Robert Michael Woznicki, MD
- Darbi Wray, MS CAP PPC
- Alisha Danielle Wright, PHARM D
- Wyoming Audiology & Hearing Inc
- Wyoming Care Collaborative LLC
- Wyoming Clinic of Medicine, LLC
- Wyoming Counseling Inc
- Wyoming Counseling, Inc
- Wyoming Eye Surgeons
- Wyoming Home Health & Hospice Big Horn Inc (Eclipse Home Health)
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.