NPIMap

Organization Active NPI

Advanced Spine and Wellness

  • Chiropractor
  • Bozeman, MT
National Provider Identifier
1598062523
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
583 Issued in MT
Legal business name
ADVANCED SPINE AND WELLNESS
Practice address
1425 W Main St
Suite C
Bozeman, MT 59715-3283
Phone
(406) 585-0388
Fax
(406) 585-0384
NPI assigned
Feb 28, 2011
Last updated
Feb 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Authorized official

Name
Dr. Donald Craig Funke, DC
Title
Chiropractor
Phone
(406) 585-0388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 583 MT Primary

Addresses

Primary practice location

1425 W Main St
Suite C
Bozeman, MT 59715-3283

Mailing address

1425 W Main St
Suite C
Bozeman, MT 59715-3283
Phone (406) 585-0388

National Provider Directory

National Provider Directory

Locations

1425 W Main St
Unit C
Bozeman, MT 59715
Phone (406) 585-0388

NPI Registry JSON

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298851200000",
    "number": "1598062523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 W MAIN ST",
            "address_2": "SUITE C",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153283",
            "telephone_number": "406-585-0388",
            "fax_number": "406-585-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 W MAIN ST",
            "address_2": "SUITE C",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153283",
            "telephone_number": "406-585-0388",
            "fax_number": "406-585-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SPINE AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-28",
        "last_updated": "2011-02-28",
        "status": "A",
        "authorized_official_last_name": "FUNKE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "406-585-0388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; 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.