Active NPI
Chiropractic Montana
- Chiropractor
- Lewistown, MT
National Provider Identifier
1750779799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2871
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.