Organization Active NPI

Willow Sage Chiropractic PLLC

  • Chiropractor
  • Bozeman, MT
National Provider Identifier
1619822863
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WILLOW SAGE CHIROPRACTIC PLLC
Practice address
614 S Ferguson Ave Ste 1
Bozeman, MT 59718-6413
Phone
(406) 600-4949
NPI assigned
Mar 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Authorized official

Name
Nicole Laska, D.C.NPI 1265806137
Title
Ceo - Chiropractor
Phone
(406) 600-4949

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 Primary

Addresses

Primary practice location

614 S Ferguson Ave Ste 1
Bozeman, MT 59718-6413

Mailing address

614 S Ferguson Ave Ste 1
Bozeman, MT 59718-6413
Phone (406) 600-4949

National Provider Directory

National Provider Directory

Locations

614 S Ferguson Ave
Ste 1
Bozeman, MT 59718
Phone (406) 600-4949

Practitioners & affiliated clinicians

Practitioners 1

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": "1772496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1619822863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 S FERGUSON AVE STE 1",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186413",
            "telephone_number": "406-600-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 S FERGUSON AVE STE 1",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186413",
            "telephone_number": "406-600-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW SAGE CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "LASKA",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CEO - CHIROPRACTOR",
        "authorized_official_telephone_number": "406-600-4949",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "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 Mar 3, 2026; 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.