Individual provider Active NPI

Kristal Schmidt, DC

  • Chiropractor
  • Gillette, WY
National Provider Identifier
1619971405
Registry record updated Sep 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
674 Issued in WY
Practice address
201 W Lakeway Rd
Ste 200
Gillette, WY 82718-6341
Phone
(307) 682-7885
Fax
(307) 682-2153
NPI assigned
Jun 9, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 674 WY Primary

Addresses

Primary practice location

201 W Lakeway Rd
Ste 200
Gillette, WY 82718-6341

Mailing address

201 W Lakeway Rd
Ste 200
Gillette, WY 82718-6341
Phone (307) 682-7885

Other names 1

  • Dr. Kristal Kay Vance Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
674WYMDChiropractor
5567COMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Health and Wellness, Inc. Chiropractor PastSince Jan 1, 2005 Accepting new patients
Salsman Chiropractic Health Center Chiropractor Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504742400000",
    "number": "1619971405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W LAKEWAY RD",
            "address_2": "STE 200",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827186341",
            "telephone_number": "307-682-7885",
            "fax_number": "307-682-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W LAKEWAY RD",
            "address_2": "STE 200",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827186341",
            "telephone_number": "307-682-7885",
            "fax_number": "307-682-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "KRISTAL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2017-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WY",
            "license": "674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTAL",
            "last_name": "VANCE",
            "middle_name": "KAY",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Sep 7, 2017; 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.