Advanced Chiropractic Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

383 Issued in MT

Legal business name

ADVANCED CHIROPRACTIC INC.

Practice address

720 2ND St E
Kalispell, MT 59901-4678

Phone

(406) 257-7463

Fax

(406) 257-7466

NPI assigned

Jan 22, 2010

Organization subpart

No

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

Authorized official

Name

Thomas P Fullerton, DC.NPI 1104997071

Title

Owner

Phone

(406) 257-7463

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas P Fullerton, D.C.

  • Chiropractor
  • Kalispell, MT
  • NPI 1104997071
  Medicare reassignment NPD Authorized official
• Daniel Hall, D.C.

  • Chiropractor
  • Pembroke Pines, FL
  • NPI 1922111749
  NPD (past)

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265932800000",
    "number": "1710218219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 2ND ST E",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014678",
            "telephone_number": "406-257-7463",
            "fax_number": "406-257-7466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 2ND ST E",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014678",
            "telephone_number": "406-257-7463",
            "fax_number": "406-257-7466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-22",
        "last_updated": "2010-02-12",
        "status": "A",
        "authorized_official_last_name": "FULLERTON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-257-7463",
        "authorized_official_credential": "DC."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MT",
            "license": "383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kirby Ahlstrom, PTA
• Maggie J Ahmad, CRNP
• Chris Ahner

• Clinic/Center in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.