Chiropractic Wellness Center, P.C.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

586 WY Issued in WY

Legal business name

CHIROPRACTIC WELLNESS CENTER, P.C.

Practice address

404 S Douglas Hwy
Gillette, WY 82716-4029

Phone

(307) 682-4000

Fax

(307) 686-0768

NPI assigned

Sep 10, 2007

Organization subpart

No

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

Authorized official

Name

Miss Kirsten Kim Maycock, D.C.NPI 1801977400

Title

President

Phone

(307) 682-4000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kirsten Kim Maycock, D.C.

  • Chiropractor
  • Gillette, WY
  • NPI 1801977400
  Medicare reassignment NPD Authorized official
• Nave J Young, CMT

  • Massage Therapist
  • Gillette, WY
  • NPI 1376786426
  NPD (past)

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1659566974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 S DOUGLAS HWY",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827164029",
            "telephone_number": "307-682-4000",
            "fax_number": "307-686-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 S DOUGLAS HWY",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827164029",
            "telephone_number": "307-682-4000",
            "fax_number": "307-686-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC WELLNESS CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "MAYCOCK",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-682-4000",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WY",
            "license": "586 WY",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tarah Chamberlain, D.O.
• Marissa A Chatfield
• Guillermina Chavez
• Chantall Marie Cherry
• Children'S Developmental Services of Campbell County
• Patricia Ann Chivers, MC PCC
• Ilene Choal, D.D.S.
• Starla F Chord
• Cindy Mankin Case Manager LLC
• Daryle L Clark, OD

• Health Service Clinic/Center in Gillette, WY
• Providers in Gillette, WY by specialty
• Health Service Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.