Active NPI
C Missy A Thomas, DC
- Chiropractor
- Lander, WY
National Provider Identifier
1699803403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 568
- Practice address
- 8210 US Highway 287
Lander, WY 82520-9349 - Phone
- (307) 332-9362
- Fax
- (307) 332-9362
- NPI assigned
- Mar 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 568 | WY | Primary |
Addresses
Primary practice location
8210 US Highway 287
Lander, WY 82520-9349
Mailing address
PO Box 795
Fort Washakie, WY 82514-0795
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 310877 | Other | WY | PROVIDER NUMBER (PIN#) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071011000719 | WY | Practitioner - Chiropractic | 9133215726 | Practice locations: Lander, WY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1992
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
906 Main St
Suite C
Lander, WY 82520-3074
Phone (307) 332-9362
906 Main St C
Lander, WY 82520-3074
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 568 | WY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699803403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 795",
"city": "FORT WASHAKIE",
"state": "WY",
"postal_code": "825140795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8210 US HIGHWAY 287",
"city": "LANDER",
"state": "WY",
"postal_code": "825209349",
"telephone_number": "307-332-9362",
"fax_number": "307-332-9362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "C MISSY",
"middle_name": "A",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WY",
"license": "568",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER NUMBER (PIN#)",
"identifier": "310877",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lander, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.