Organization Active NPI

New Leaf Chiropractic, PLLC

  • Clinic/Center
  • Missoula, MT
National Provider Identifier
1679801948
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1216 Issued in MT
Legal business name
NEW LEAF CHIROPRACTIC, PLLC
Practice address
410 W Spruce St
Missoula, MT 59802-4106
Phone
(406) 549-0119
Fax
(406) 549-0946
NPI assigned
Nov 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

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

Authorized official

Name
Dr. Philip Guignard, DC
Title
Doctor, Owner
Phone
(406) 549-0119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 1216 MT Primary

Addresses

Primary practice location

410 W Spruce St
Missoula, MT 59802-4106

Mailing address

410 W Spruce St
Missoula, MT 59802-4106
Phone (406) 549-0119

Other identifiers 1

IdentifierTypeStateIssuer
1366778003OtherNPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1679801948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 W SPRUCE ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024106",
            "telephone_number": "406-549-0119",
            "fax_number": "406-549-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W SPRUCE ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024106",
            "telephone_number": "406-549-0119",
            "fax_number": "406-549-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEAF CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-25",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "GUIGNARD",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "DOCTOR, OWNER",
        "authorized_official_telephone_number": "406-549-0119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MT",
            "license": "1216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1366778003",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.