Organization Active NPI

Cloud Peak Chiropractic, P.C.

  • Chiropractor
  • Worland, WY
National Provider Identifier
1669741203
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
670 Issued in WY
Legal business name
CLOUD PEAK CHIROPRACTIC, P.C.
Practice address
618 Coburn Ave
Worland, WY 82401-3314
Phone
(307) 347-3500
Fax
(307) 347-4893
NPI assigned
Dec 28, 2011
Reactivated
Mar 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Authorized official

Name
Dr. Sarah Elizabeth Radabaugh, D.C.
Title
President
Phone
(307) 347-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 670 WY Primary

Addresses

Primary practice location

618 Coburn Ave
Worland, WY 82401-3314

Mailing address

618 Coburn Ave
Worland, WY 82401-3314
Phone (307) 347-3500

Other practice location 1

443 Big Horn St
Thermopolis, WY 82443-2306
Phone (307) 864-4044

Other names 1

  • Sarah Radabaugh Former legal business name

National Provider Directory

National Provider Directory

Locations

618 Coburn Ave
Worland, WY 82401
Phone (307) 347-3500

614 S 12th St
Worland, WY 82401
Phone (307) 347-3500

NPI Registry JSON

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1669741203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 COBURN AVE",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "824013314",
            "telephone_number": "307-347-3500",
            "fax_number": "307-347-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 COBURN AVE",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "824013314",
            "telephone_number": "307-347-3500",
            "fax_number": "307-347-4893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "443 Big Horn St",
            "address_purpose": "LOCATION",
            "city": "Thermopolis",
            "state": "WY",
            "postal_code": "824432306",
            "country_code": "US",
            "telephone_number": "307-864-4044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLOUD PEAK CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-28",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "deactivation_date": "2023-01-17",
        "reactivation_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "RADABAUGH",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-347-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WY",
            "license": "670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sarah Radabaugh",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Sarah Radabaugh",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Worland, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.