Organization Active NPI

Chiropractic Montana

  • Chiropractor
  • Lewistown, MT
National Provider Identifier
1750779799
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2871 Issued in MT
Legal business name
CHIROPRACTIC MONTANA
Practice address
714 1St Ave S
Lewistown, MT 59457-3000
Phone
(406) 535-6805
NPI assigned
Dec 29, 2014
Last updated
Dec 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Authorized official

Name
Shane Wetzel, DC, MPE
Title
Sole Member
Phone
(406) 535-6805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2871 MT Primary

Addresses

Primary practice location

714 1St Ave S
Lewistown, MT 59457-3000

Mailing address

PO Box 328
Lewistown, MT 59457-0328
Phone (406) 535-6805

National Provider Directory

National Provider Directory

Locations

714 1st Ave S
Lewistown, MT 59457
Phone (406) 535-6805

NPI Registry JSON

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1750779799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 328",
            "city": "LEWISTOWN",
            "state": "MT",
            "postal_code": "594570328",
            "telephone_number": "406-535-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 1ST AVE S",
            "city": "LEWISTOWN",
            "state": "MT",
            "postal_code": "594573000",
            "telephone_number": "406-535-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC MONTANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-29",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "WETZEL",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "406-535-6805",
        "authorized_official_credential": "DC, MPE"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "2871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewistown, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; 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.