Wellness Chiropractic Clinic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

WELLNESS CHIROPRACTIC CLINIC PC

Practice address

222 15TH St S Ste C
Great Falls, MT 59405-2459

Phone

(406) 727-5231

Fax

(406) 727-6392

NPI assigned

Nov 9, 2018

Organization subpart

No

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

Authorized official

Name

Crystal Jimmerson, DCNPI 1669716999

Title

Executive Officer

Phone

(503) 515-1954

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

Practitioners 6

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

• Crystal Victoria Jimmerson, DC, MS

  • Chiropractor
  • Great Falls, MT
  • NPI 1669716999
  Medicare reassignment Care Compare group NPD Authorized official
• Kevin James Jimmerson, D.C.

  • Chiropractor
  • Great Falls, MT
  • NPI 1760736029
  Medicare reassignment Care Compare group NPD
• Kathryn Lynnette Bohks, DC

  • Chiropractor
  • Great Falls, MT
  • NPI 1659454486
  NPD
• Mark Hertenstein

  • Chiropractor
  • Great Falls, MT
  • NPI 1114030814
  NPD (past)
• Gary Edward Jimmerson, DC

  • Chiropractor
  • Fort Benton, MT
  • NPI 1053473397
  NPD (past)
• Kerri Michelle Bahnemann, D.C.

  • Chiropractor
  • Colorado Springs, CO
  • NPI 1699081760
  NPD (past)

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

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581724800000",
    "number": "1750859559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 15TH ST S STE C",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594052459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 15TH ST S STE C",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594052459",
            "telephone_number": "406-727-5231",
            "fax_number": "406-727-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-09",
        "last_updated": "2020-02-15",
        "certification_date": "2020-02-15",
        "status": "A",
        "authorized_official_last_name": "JIMMERSON",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "503-515-1954",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Anne Weiskittel, LCPC
• Laura Judtih Weiss, APRN
• Robert Weiss, PA-C
• Jodi L Weisser Violett, MD
• Nicole Leigh Wellman Donester, M.D.
• Wendel Wells
• Carey J Welsh, MD
• Leigha Welsh, SLP
• Devorah R Werner, PA C
• West Orthodontics PC

• Chiropractor in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Chiropractor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2020; 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.