Organization Active NPI

Total Health Chiropractic, PC

  • Health Service Clinic/Center
  • Kalispell, MT
National Provider Identifier
1659389906
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
841CHI Issued in MT
Legal business name
TOTAL HEALTH CHIROPRACTIC, PC
Practice address
690 N Meridian Rd
Suite 105
Kalispell, MT 59901-3586
Phone
(406) 752-7289
Fax
(406) 752-8679
NPI assigned
Aug 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Richard W Puchta, D.C.NPI 1477760155
Title
President
Phone
(406) 752-7289

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
Health Service Clinic/Center 261QH0100X 841CHI MT Primary

Addresses

Primary practice location

690 N Meridian Rd
Suite 105
Kalispell, MT 59901-3586

Mailing address

690 N Meridian Rd
Suite 105
Kalispell, MT 59901-3586
Phone (406) 752-7289

Other identifiers 2

IdentifierTypeStateIssuer
0000160582MedicaidMT
04-01483-3OtherMTMONTANA STATE FUND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070719000177 MT Part B Supplier - Clinic/Group Practice 0446351530 Receives reassigned benefits from 1 practitioner
Practice locations: Kalispell, MT

National Provider Directory

National Provider Directory

Locations

80 Four Mile Dr
Ste 14A
Kalispell, MT 59901
Phone (406) 752-0330

690 N Meridian Rd
Ste 105
Kalispell, MT 59901
Phone (406) 752-7289

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": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659389906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 N MERIDIAN RD",
            "address_2": "SUITE 105",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013586",
            "telephone_number": "406-752-7289",
            "fax_number": "406-752-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 N MERIDIAN RD",
            "address_2": "SUITE 105",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013586",
            "telephone_number": "406-752-7289",
            "fax_number": "406-752-8679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL HEALTH CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PUCHTA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-752-7289",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MT",
            "license": "841CHI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000160582",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONTANA STATE FUND",
            "identifier": "04-01483-3",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.