Individual provider Active NPI

Jeffery Marvin Garner, D.C.

  • Chiropractor
  • Bozeman, MT
National Provider Identifier
1659813848
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4503 Issued in MT
Practice address
2245 W Koch St Ste a
Bozeman, MT 59718-4013
Phone
(406) 587-0711
Fax
(406) 587-6074
NPI assigned
Nov 6, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4503 MT Primary

Addresses

Primary practice location

2245 W Koch St Ste a
Bozeman, MT 59718-4013

Mailing address

2245 W Koch St Ste a
Bozeman, MT 59718-4013
Phone (406) 587-0711

Other practice location 1

321 W Main St
Belgrade, MT 59714-3410
Phone (406) 388-1446

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161121000630 MT Practitioner - Chiropractic 8224317979 Practice locations: Bozeman, MT

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1351 Stoneridge Dr
Suite B
Bozeman, MT 59718-7079
Phone (406) 587-0711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4503MTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Total Health Physical Therapy LLC PastSince Nov 1, 2016 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1478390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1659813848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 W KOCH ST STE A",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597184013",
            "telephone_number": "406-587-0711",
            "fax_number": "406-587-6074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 W KOCH ST STE A",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597184013",
            "telephone_number": "406-587-0711",
            "fax_number": "406-587-6074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 W Main St",
            "address_purpose": "LOCATION",
            "city": "Belgrade",
            "state": "MT",
            "postal_code": "597143410",
            "country_code": "US",
            "telephone_number": "406-388-1446",
            "fax_number": "406-388-9607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARNER",
        "first_name": "JEFFERY",
        "middle_name": "MARVIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "4503",
            "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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.