Active NPI
Michael C Jones, D.C.
- Chiropractor
- Bozeman, MT
National Provider Identifier
1629155486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 812
- Practice address
- 517 S 22ND Ave
Suite 7
Bozeman, MT 59718-6858 - Phone
- (406) 587-9122
- Fax
- (406) 587-9287
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 812 | MT | Primary |
Addresses
Primary practice location
517 S 22ND Ave
Suite 7
Bozeman, MT 59718-6858
Mailing address
517 S 22ND Ave
Suite 7
Bozeman, MT 59718-6858
Phone (406) 587-9122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0164996 | Medicaid | MT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 812 | MT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294617600000",
"number": "1629155486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 S 22ND AVE",
"address_2": "SUITE 7",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597186858",
"telephone_number": "406-587-9122",
"fax_number": "406-587-9287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 S 22ND AVE",
"address_2": "SUITE 7",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597186858",
"telephone_number": "406-587-9122",
"fax_number": "406-587-9287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "MICHAEL",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2011-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MT",
"license": "812",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0164996",
"state": "MT"
}
],
"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 Jan 10, 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.