Dwayne Steven Borgstrand, D.C., L.AC.

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

493 Issued in WY

Practice address

832 19TH St
Cody, WY 82414-3839

Phone

(307) 587-6313

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710079926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 19TH ST",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824143839",
            "telephone_number": "307-587-6313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 19TH ST",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824143839",
            "telephone_number": "307-587-6313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGSTRAND",
        "first_name": "DWAYNE",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.C., L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "WY",
            "license": "493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Lee Blough, A.P.R.N.
• Bodyworks Prosthetics and Orthotics LLC
• Patricia A Bohmer, MS-CCC
• Kirk A Bollinger, MD
• Karen S Bond, M.A.
• Katie Bost
• Ryan Thomas Bower, M.D.
• Adair M. Bowlby, MD
• Helen Claire Bowles, MS, LPC
• Rachael M. Bracke, M.D.

• All providers in Cody, WY
• Orthopedic Chiropractor in Wyoming

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.